Theresa Tara Johnson
NPI #1619738317 in South Boston, Massachusetts
Provider Information
- NPI Number
- 1619738317
- Entity Type
- Individual
- Name
- Theresa Tara Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jan 19, 2024
- Last Updated
- Jan 19, 2024
Practice Location
- Address
- 25 JAMES ONEILL ST
- City
- South Boston
- State
- Massachusetts
- ZIP Code
- 02127-4504
- Phone
- (617) 534-9500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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