Individual
MISS JOHNNA ELAINE MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7618
(617) 667-4469
Mailing address
17 HERITAGE LN, METHUEN, MA 01844-1739
(978) 204-1265
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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