Provider Demographics
NPI:1902413933
Name:JOHNSON, CHRISTEN ERIKA
Entity Type:Individual
Prefix:
First Name:CHRISTEN ERIKA
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16122 MCCONNELL DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3283
Mailing Address - Country:US
Mailing Address - Phone:202-253-2081
Mailing Address - Fax:202-800-9736
Practice Address - Street 1:16122 MCCONNELL DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-3283
Practice Address - Country:US
Practice Address - Phone:202-253-2081
Practice Address - Fax:202-800-9736
Is Sole Proprietor?:No
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No171W00000XOther Service ProvidersContractor