Individual
RUTH K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 UNION ST, ROCKLAND, ME 04841-2978
(207) 701-4477
(207) 701-4486
Mailing address
PO BOX 526, ROCKLAND, ME 04841-2739
(207) 701-4477
(207) 701-4486
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC1644
ME
Other
Enumeration date
10/16/2006
Last updated
02/29/2008
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