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Individual
ULRIC R JOHNSON
Active
Individual
ULRIC R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, LMFT, RC, PHD
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
40
MA
101YM0800X
Mental Health Counselor
Primary
265
MA
106H00000X
Marriage & Family Therapist
149
MA
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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