NPI 1013443563

Derek W. Johnson

Practitioner Addiction (Substance Use Disorder) Counselor Hyannis, MA

Practice location

Address: 29 Bassett Ln, Hyannis, MA 02601-3813
Phone: (774) 810-5062
Mailing address: 69 Emerald Lane, Marstons Mills, MA 02648

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

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Registry record

NPI: 1013443563
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2017
Record last updated: 3 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.