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Individual

REBECCA LYNN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA,LMHC MHC 01482

Contact information

Practice address
20 AGNES ST APT 5, WEST WARWICK, RI 02893-5737
(732) 930-4492
Mailing address
20 AGNES ST APT 5, WEST WARWICK, RI 02893-5737
(732) 930-4492

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC01482
RI

Other

Enumeration date
04/11/2023
Last updated
04/11/2023
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