Individual
MADISON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1138 PINE ST, BURLINGTON, VT 05401-5353
(802) 488-6000
Mailing address
1138 PINE ST, BURLINGTON, VT 05401-5353
(802) 488-6000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL06920900
NJ
251S00000X
Community/Behavioral Health Agency
Primary
097.0139124
VT
Other
Enumeration date
03/15/2023
Last updated
09/22/2025
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