Individual provider · Type 1 NPI

Jennifer Maddox-Johnson, CLINICIAN

Mental Health Counselor · Worcester, MA

NPI number 1376894063 Active

Practice location

250 Commercial St, Suite 200
Worcester, MA 01608-1726

Fax (508) 752-0947

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376894063

Jennifer Maddox-Johnson, CLINICIAN's National Provider Identifier is 1376894063, issued on Sep 21, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on Sep 21, 2012.