Johnson, Kathryn Alicia
Johnson, Kathryn Alicia is an individual health care provider with primary practice located at 21 Industrial Park Dr Ste 104D , Waldorf MD 20602-2751. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Johnson, Kathryn Alicia can be contacted via phone (301) 818-0030.Contact Information
Primary practice address
21 Industrial Park Dr Ste 104D
Waldorf MD 20602-2751
Phone: (301) 818-0030
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | AC2456 | Maryland |
Profile Details
| NPI number | 1215430541 |
|---|---|
| LBN Legal business name | Johnson, Kathryn Alicia |
| Credentials | BS, CAC-AD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2018 |
| Last updated | Mar 13th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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