Most Relevant Information
Provider Data
| NPI Number: | 1003406315 |
| Provider Name: | LILI JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | LG50081603 |
Most Important Dates
| Enumeration Date: | 01/20/2021 |
| Last Updated: | 01/20/2021 |
Provider Practice Location
441 21ST ST NE
WASHINGTON
DC
200024705
Practice Location Phone/Fax
| Phone: | 2023416761 |
| Fax: |
Provider Mailing Location
441 21ST ST NE
WASHINGTON
DC
200024705
Provider Mailing Phone/Fax
| Phone: | 2023416761 |
| Fax: |