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Individual

JOHANY ELIZABETH CORTORREAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRPA NYCPS FPA

Contact information

Practice address
980 MAIN ST APT 34, WOBURN, MA 01801-1243
(646) 306-0562
Mailing address
980 MAIN ST APT 34, WOBURN, MA 01801-1243
(646) 306-0562

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
NY
106S00000X
Behavior Technician
MA
171M00000X
Case Manager/Care Coordinator
MA
172V00000X
Community Health Worker
MA
175T00000X
Peer Specialist
Primary
NYCPS-P5763
NY
374J00000X
Doula
MA

Other

Enumeration date
12/08/2023
Last updated
02/18/2026
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