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NPI Code Detail

MEDICARE: AARON THOMAS JOHNSON LADC, CCS

MEDICARE: AARON THOMAS JOHNSON LADC, CCS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorLC8766ME

General Provider Information

NPI Number : 1225792526
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON THOMAS JOHNSON LADC, CCS
Provider Business Mailing Address
First Line : 329 BATH RD
Second Line :
City : BRUNSWICK
State : ME
Zip : 04011-2673
Country : US
Telephone Number : 207-205-4437
Fax Number :
Provider Business Practice Location Address
First Line : 329 BATH RD
Second Line :
City : BRUNSWICK
State : ME
Zip : 04011-2673
Country : US
Telephone Number : 207-205-4437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2021
Last Update Date : 06/24/2026

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