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Dalton James Johnson Jr., L.C.P.C.

Counselor, Professional in Waldorf, MD. Individual provider (NPI-1).

NPI number1861694051
StatusActive
Last updated in NPPESDec 18, 2018

Details

NPI
1861694051
Entity type
Individual (NPI-1)
Name
Mr. Dalton James Johnson Jr.
Credential
L.C.P.C.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 1, 2007
Last updated
Dec 18, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes
101YM0800X Counselor, Mental HealthLCO791MD

Practice location

4660 Prestancia Pl Apt 107
Waldorf, MD 20602-4119

Phone 301-645-5460

Mailing address

4660 Prestancia Pl Apt 107
Waldorf, MD 20602-4119

Phone 301-645-5460

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