| Theresa Tara Johnson, | |
|
25 James Oneill St, South Boston, MA 02127-4504 | |
| (617) 534-9500 | |
| (617) 419-1706 |
| Full Name | Theresa Tara Johnson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 25 James Oneill St, South Boston, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619738317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Tara Johnson, 1010 Massachusetts Ave, Boston, MA 02118-2600 Ph: (617) 534-4222 | Theresa Tara Johnson, 25 James Oneill St, South Boston, MA 02127-4504 Ph: (617) 534-9500 |
Mark A Schroeder, LADCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 1226 Columbia Rd # A, South Boston, MA 02127 Phone: 617-534-9500 Fax: 617-534-9151 | |
Ms. Roberta Reich, L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 Old Colony Ave, South Boston, MA 02127 Phone: 617-268-1700 Fax: 617-268-1991 | |
Courtney Elizabeth Hoban, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1226a Columbia Rd, South Boston, MA 02127 Phone: 617-534-9500 Fax: 617-534-9515 | |
Joel B Hark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 James Oneill St, South Boston, MA 02127 Phone: 617-534-9500 | |
Elizabeth K Doherty, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Dorchester Ave, South Boston, MA 02127 Phone: 617-524-4620 | |
Katie Ryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Rev Burke Street #151, South Boston, MA 02127 Phone: 617-534-9500 | |
John Nestor, LADC 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Old Colony Ave, South Boston, MA 02127 Phone: 617-268-5000 Fax: 617-268-5008 |