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1942022033
JACOB JOHNSON
NOTTINGHAM, MD
NPI
1942022033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MD LGP15741)
Enumeration Date
2024-10-29
Last Update Date
2024-11-11
Business Address
JACOB JOHNSON LGPC
7658 BELAIR RD
NOTTINGHAM, MD 21236-4020
Phone number: 410-800-2169
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Mailing Address
JACOB JOHNSON LGPC
127 N MILTON AVE
BALTIMORE, MD 21224-1049
Phone number: 941-323-0573
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