MATTHEW EVAN JOHNSON

JOHNSTON, RI
NPI1649738428
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: RI  CDP00775)
Enumeration Date2019-03-11
Last Update Date2019-03-20
Business Address
MATTHEW EVAN JOHNSON
1443 HARTFORD AVE
JOHNSTON, RI 02919
Phone number: 401-273-8100
Mailing Address
MATTHEW EVAN JOHNSON
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4513
Phone number: 401-444-6779
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