Individual provider · Type 1 NPI
Mary Theresa Johnson, M.A.
Mental Health Counselor · Worcester, MA
NPI number
1164516175
Active
Practice location
338 Highland Street
Worcester, MA 01602
Fax (508) 831-9967
Other practice locations
- 258 Main St, Sturbridge, MA 01566-1540 · (508) 418-6888
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 1003 (MA) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1164516175
Mary Theresa Johnson, M.A.'s National Provider Identifier is 1164516175, issued on Oct 3, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on Apr 2, 2025.