Individual
DONALD CLARK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC-I
Contact information
Practice address
16 LOWELL AVE, HOLDEN, MA 01520-2134
(774) 364-4569
Mailing address
16 LOWELL AVE, HOLDEN, MA 01520-2134
(774) 364-4569
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18560
MA
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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