Gabrielle Johnson, LGPC
Individual provider Active NPI Professional Counselor · Accokeek, MD
NPI 1003694936 · NPPES record last updated Sep 20, 2023
Key facts
- NPI
- 1003694936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LGP13549 (MD)
- Practice address
- 801 Naeve CT
Accokeek, MD 20607-2290 - Phone
- (804) 943-2316
- NPI assigned
- Sep 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP13549 | MD | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP13549 | MD | Yes |
Addresses
Primary practice location
801 Naeve CT
Accokeek, MD 20607-2290
Mailing address
2670 Crain Hwy Ste 501
Waldorf, MD 20601-2819
Phone (804) 943-2316
Other providers in Accokeek, MD
- Amani Howard
- Kanita Hughes
- Intentional Hope and Healing Counseling Services, LLC
- J&D Fant Family Services
- Jacl & Associates LLC
- Cortney Launa Jordan
- Sheila Kelly
- Kimcares Wellness Services, LLC
- Kinpel Medical, PC
- Lucie S Lavarn
All providers in Accokeek, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.