Eric Johnson LCPC

NPI 1043254493 - Social Worker - 104100000X

NPI Details
NPI 1043254493
Gender Male
Enumeration Date 06/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
205 OCEAN AVE
PORTLAND ME, 04103-5742, US
Phone (207) 775-1335
Fax
Business Location
205 OCEAN AVE
PORTLAND ME, 04103-5742, US
Phone (207) 775-1335
Fax
Toxanomy
Taxonomy Code 104100000X
License State Maine
License Number CC3012
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According to our database, Eric Johnson LCPC NPI is 1043254493, taxonomy code is 104100000X and license number is CC3012, license state is located at Maine. Eric Johnson LCPC physically located at 205 Ocean Ave, Portland ME, 04103-5742. NPI Number Eric Johnson LCPC has the Individual type.

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1043254493 NPI number is provided on an as is basis without warranty of any kind. 1043254493 is maintained by the National Plan & Provider Enumeration System. The contents of Eric Johnson LCPC are for informational purposes only.