Individual
MRS. THERESA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BC APRN LADC
Contact information
Practice address
361 PARK RD, 3RD FL, WEST HURTFORD, CT 06119
(860) 523-1101
Mailing address
9A FARMINGTON CHASE CRESCENT, FARMINGTON, CT 06032-3132
(860) 677-0367
(860) 677-0367
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LADC000161
CT
163W00000X
Registered Nurse
RNE33028
CT
363L00000X
Nurse Practitioner
APRN002487
CT
Other
Enumeration date
05/11/2007
Last updated
09/11/2025
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