DR. JAKE JOHNSON, DOCTORATE

Counselor - Professional

Active Individual
NPI: 1164625240

Practice Address

14300 GALLANT FOX LN
SUITE 211
Bowie, MD 20715

Phone: (301) 262-2828

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No 297 (MD)
Counselor - Professional 101YP2500X Yes 297 (MD)

Frequently Asked Questions

NPI 1164625240 is the National Provider Identifier for DR. JAKE JOHNSON, DOCTORATE, a Counselor - Professional provider located in Bowie, MD. This NPI was enumerated on June 7, 2007.
DR. JAKE JOHNSON, DOCTORATE practices at 14300 GALLANT FOX LN, SUITE 211, Bowie, MD 20715.

Quick Facts

NPI
1164625240
Type
Individual
Enumerated
Jun 7, 2007
Last Updated
Sep 11, 2025

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