DEREK W. JOHNSON

HYANNIS, MA
NPI1013443563
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-05-03
Last Update Date2017-05-03
Business Address
-- DEREK W. JOHNSON
29 BASSETT LN
HYANNIS, MA 02601-3813
Phone number: 774-810-5062
Mailing Address
-- DEREK W. JOHNSON
69 EMERALD LANE
MARSTONS MILLS, MA 02648
Phone number: 774-810-5062
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