Johanna Elise Shriver Halligan, MT-BC

NPI #1154987303 in Acton, Massachusetts

Provider Information

NPI Number: 1154987303
Entity Type: Individual
Name: Johanna Elise Shriver Halligan, MT-BC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MT-BC
Enumeration Date: May 14, 2019
Last Updated: May 14, 2019

Practice Location

Address: 289 GREAT RD
City: Acton
State: Massachusetts
ZIP Code: 01720-4766
Phone: (978) 679-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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