Individual provider · Type 1 NPI

Johnson Simeon

Mental Health Counselor · Randolph, MA

NPI number 1295503472 Active

Practice location

400 N Main St
Randolph, MA 02368-4177

Mailing address

46 W Rosseter St
Brockton, MA 02301-3450

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1295503472

Johnson Simeon's National Provider Identifier is 1295503472, issued on Dec 18, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Randolph, MA. The record was last updated on Dec 18, 2023.