Individual
JENNIFER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 CUMMINGS CTR, BEVERLY, MA 01915-6175
(978) 921-1190
Mailing address
800 CUMMINGS CTR, BEVERLY, MA 01915-6175
(978) 921-1190
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
MA
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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