THERESA TARA JOHNSON

SOUTH BOSTON, MA
NPI1619738317
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2024-01-19
Last Update Date2024-01-19
Business Address
THERESA TARA JOHNSON
25 JAMES ONEILL ST
SOUTH BOSTON, MA 02127-4504
Phone number: 617-534-9500
Mailing Address
THERESA TARA JOHNSON
1010 MASSACHUSETTS AVE
BOSTON, MA 02118-2600
Phone number: 617-534-4222