person
Theresa Tara Johnson
Addiction (Substance Use Disorder) Counselor in South Boston, Massachusetts
NPI 1619738317

Theresa Tara Johnson is an Addiction (Substance Use Disorder) Counselor based in Boston, MA and is specialized in Addiction (Substance Use Disorder). Theresa Tara Johnson practices in South Boston, MA. The NPI Number for Theresa Tara Johnson is 1619738317 and holds a License No. (Massachusetts).

The current practice location address for Theresa Tara Johnson is 25 James Oneill St, South Boston, MA and can be reached out via phone at 617-534-9500 and via fax at 617-419-1706.

Location: 25 James Oneill St, South Boston, MA, 02118-2600
person
Provider Profile Details
NPI Number
1619738317
Provider Name
Theresa Tara Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
25 James Oneill St, South Boston, MA, 02118-2600
Phone Number
617-534-9500
Fax Number
617-419-1706
Provider Enumeration Date
01/19/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
25 James Oneill St
City
State
Zip
02127-4504
Phone Number
617-534-9500
Fax Number
617-419-1706
person
Provider Business Mailing Address Details
Address
25 James Oneill St
City
State
Zip
02127-4504
Phone Number
617-534-9500
Fax Number
617-419-1706
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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