Donald Clark Johnson, LADC-I
Counselor, Addiction (Substance Use Disorder) in Holden, MA. Individual provider (NPI-1).
NPI number1982247839
StatusActive
Last updated in NPPESOct 23, 2019
Details
- NPI
- 1982247839
- Entity type
- Individual (NPI-1)
- Name
- Donald Clark Johnson
- Credential
- LADC-I
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2019
- Last updated
- Oct 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 18560 | MA | Yes |
Practice location
16 Lowell AveHolden, MA 01520-2134
Phone 774-364-4569
Mailing address
16 Lowell AveHolden, MA 01520-2134
Phone 774-364-4569
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.