Elizabeth Johanson, MASTERS

NPI #1568781417 in Pawtucket, Rhode Island

Provider Information

NPI Number: 1568781417
Entity Type: Individual
Name: Elizabeth Johanson, MASTERS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MASTERS
Enumeration Date: May 18, 2010
Last Updated: May 18, 2010

Practice Location

Address: 101 BACON ST
City: Pawtucket
State: Rhode Island
ZIP Code: 02860-5542
Phone: (401) 722-3560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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