Most Relevant Information
Provider Data
| NPI Number: | 1003694936 |
| Provider Name: | GABRIELLE JOHNSON LGPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | LGP13549 |
Most Important Dates
| Enumeration Date: | 09/20/2023 |
| Last Updated: | 09/20/2023 |
Provider Practice Location
801 NAEVE CT
ACCOKEEK
MD
206072290
Practice Location Phone/Fax
| Phone: | 8049432316 |
| Fax: |
Provider Mailing Location
2670 CRAIN HWY STE 501
WALDORF
MD
206012819
Provider Mailing Phone/Fax
| Phone: | 8049432316 |
| Fax: |