| Terri E. Johnson Clinical Consultative Services, Llc | |
|
7371 Hickory Log Cir Columbia MD 21045-5030 | |
| (443) 858-7588 | |
| Not Available |
| Full Name | Terri E. Johnson Clinical Consultative Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7371 Hickory Log Cir, Columbia, Maryland |
| Authorized Official Name and Position | Terri Johnson (OWNER/PRESIDENT) |
| Authorized Official Contact | 4438587588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terri E. Johnson Clinical Consultative Services, Llc 7371 Hickory Log Cir Columbia MD 21045-5030 Ph: (443) 858-7588 | Terri E. Johnson Clinical Consultative Services, Llc 7371 Hickory Log Cir Columbia MD 21045-5030 Ph: (443) 858-7588 |
| NPI Number | 1639633043 |
|---|---|
| Provider Enumeration Date | 01/30/2019 |
| Last Update Date | 04/06/2022 |
| Certification Date | 04/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639633043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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