Individual provider · Type 1 NPI

Jonathan Johnson

Student in an Organized Health Care Education/Training Program · West Lebanon, NH

NPI number 1225301757 Active · reactivated Jan 10, 2020

Practice location

24 Airport Rd
West Lebanon, NH 03784-1663

Call (603) 298-6617 Map

Mailing address

144 Waterston Ave
Quincy, MA 02170-3432

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225301757

Jonathan Johnson's National Provider Identifier is 1225301757, issued on Feb 14, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Lebanon, NH. The record was last updated on Mar 3, 2020.