Provider Demographics
NPI:1083892699
Name:JOHNSON, APRIL MICHELLE (MA ATR, LCPC)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:MICHELLE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MA ATR, LCPC
Other - Prefix:MS
Other - First Name:APRIL
Other - Middle Name:MICHELLE
Other - Last Name:BYRD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA ATR, LPC
Mailing Address - Street 1:819 RITCHIE HWY
Mailing Address - Street 2:SUITE 1020
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-4197
Mailing Address - Country:US
Mailing Address - Phone:410-431-5111
Mailing Address - Fax:410-431-5112
Practice Address - Street 1:819 RITCHIE HWY
Practice Address - Street 2:SUITE 1020
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-4197
Practice Address - Country:US
Practice Address - Phone:410-431-5111
Practice Address - Fax:410-431-5112
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5300101YP2500X
PAPC006187101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional