Individual
GRAHAM DYLAN FORD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
398 NEPONSET AVE, BOSTON, MA 02122-3134
(617) 282-3200
Mailing address
107 PORTER ST APT 2, SOMERVILLE, MA 02143-1421
(603) 303-5393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
Primary
PSY10002063
MA
Other
Enumeration date
08/09/2022
Last updated
04/23/2026
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