Provider Demographics
NPI:1568525517
Name:JOHNSON, MONICA L (LCPC)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:L
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8620 HILLVIEW RD
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4812
Mailing Address - Country:US
Mailing Address - Phone:301-350-7704
Mailing Address - Fax:301-350-7705
Practice Address - Street 1:1300 MERCANTILE LN STE 129-32
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-5327
Practice Address - Country:US
Practice Address - Phone:202-445-4475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14379101YP2500X
VA0701004140101YP2500X
MDLC2270101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional