Individual
JESSICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 445-6655
Mailing address
15 BARROWS ST, APT. 6, ALLSTON, MA 02134-2492
(508) 308-6212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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