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NPI Code Detail

MEDICARE: FLORENCE JOHNSON LMHC

MEDICARE: FLORENCE JOHNSON LMHC
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
1101YM0800XMental Health Counselor5881MA

General Provider Information

NPI Number : 1013001395
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLORENCE JOHNSON LMHC
Provider Business Mailing Address
First Line : 30 SOUTHWICK ST
Second Line : P.O. BOX 84
City : FEEDING HILLS
State : MA
Zip : 01030-2024
Country : US
Telephone Number : 413-786-6410
Fax Number : 413-789-9623
Provider Business Practice Location Address
First Line : 30 SOUTHWICK ST
Second Line :
City : FEEDING HILLS
State : MA
Zip : 01030-2024
Country : US
Telephone Number : 413-786-6410
Fax Number : 413-789-9623
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 06/16/2014

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Directions to “ FLORENCE JOHNSON LMHC” Practice Location

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