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NPI Code Detail

MEDICARE: MS. REBECCA JOHNSON CADC

MEDICARE: MS. REBECCA JOHNSON CADC
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) CounselorCAC8882ME

General Provider Information

NPI Number : 1043036221
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA JOHNSON CADC
Provider Business Mailing Address
First Line : 166 NEW COUNTY RD
Second Line :
City : ROCKLAND
State : ME
Zip : 04841-5320
Country : US
Telephone Number : 207-596-0312
Fax Number :
Provider Business Practice Location Address
First Line : 166 NEW COUNTY RD
Second Line :
City : ROCKLAND
State : ME
Zip : 04841-5320
Country : US
Telephone Number : 207-596-0312
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2024
Last Update Date : 01/16/2025

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Directions to “ MS. REBECCA JOHNSON CADC” Practice Location

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