Individual
DORIS OSIIMWE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR- HUMAN SE
Contact information
Practice address
52 ELAINE CIR # 52, SPRINGFIELD, MA 01109-1205
Mailing address
52 ELAINE CIR # 52, SPRINGFIELD, MA 01109-1205
(781) 330-1507
(617) 600-4728
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001451295
COUNSELOR
MA
Enumeration date
08/10/2020
Last updated
08/10/2020
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