Theresa Tara Johnson
Theresa Tara Johnson is an Addiction (Substance Use Disorder) Counselor in South Boston, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
25 James Oneill StSouth Boston, MA 02127-4504
Phone: (617) 534-9500
Fax: (617) 419-1706
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1619738317 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2024 |
| Last updated in NPPES | January 19, 2024 |
| Certification date | January 19, 2024 |
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