Individual
DEREK W. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 BASSETT LN, HYANNIS, MA 02601-3813
(774) 810-5062
Mailing address
69 EMERALD LANE, MARSTONS MILLS, MA 02648
(774) 810-5062
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MA
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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