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Mr. Paul Michael Johnson
Mental Health Counselor in Medford, Massachusetts
NPI 1912463811

Paul Michael Johnson is a Mental Health Counselor based in Cambridge, MA and is specialized in Mental Health. Paul Michael Johnson practices in Medford, MA. The NPI Number for Paul Michael Johnson is 1912463811 and holds a License No. (Massachusetts).

The current practice location address for Paul Michael Johnson is 151 Mystic Ave, Medford, MA and can be reached out via phone at 781-396-1199.

Location: 151 Mystic Ave, Medford, MA, 02140-2436
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912463811
Provider Name
Paul Michael Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
151 Mystic Ave, Medford, MA, 02140-2436
Phone Number
781-396-1199
Fax Number
Provider Enumeration Date
02/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
151 Mystic Ave
City
Medford
State
Massachusetts
Zip
02155-4632
Phone Number
781-396-1199
Fax Number
person
Provider Business Mailing Address Details
Address
151 Mystic Ave
City
Medford
State
Massachusetts
Zip
02155-4632
Phone Number
781-396-1199
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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