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ERIC JOHNSON

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1487011433

Individual Registrant:
 ERIC  JOHNSON 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
111 EDGARTOWN ROAD  OAK BLUFFS, MA 02557 US
Tel: 508-693-7900  Fax: --

Contact information for business:
111 EDGARTOWN ROAD  OAK BLUFFS, MA 02557 US
Tel: 508-693-7900  Fax: --

Registration Information:
NPI: 1487011433
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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