Individual provider · Type 1 NPI
Jessica Lynn Johnson, MA
Mental Health Counselor · Cambridge, MA
NPI number
1619490190
Active
Practice location
2464 Massachusetts Ave Ste 101
Cambridge, MA 02140-1645
Mailing address
70 Chiswick Rd Apt 20
Brighton, MA 02135-7141
Other practice locations
- 22 Pleasant St # 2000, Malden, MA 02148-5119 · (781) 851-2648
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1619490190
Jessica Lynn Johnson, MA's National Provider Identifier is 1619490190, issued on Jul 17, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cambridge, MA. The record was last updated on Mar 17, 2018.