Most Relevant Information
Provider Data
NPI Number: | 1003294984 |
Provider Name: | TRISHA JOHNSON |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 05/12/2015 |
Last Updated: | 05/12/2015 |
Provider Practice Location
101 BACON ST
PAWTUCKET
RI
028605542
Practice Location Phone/Fax
Phone: | 4017248400 |
Fax: | 4017225280 |
Provider Mailing Location
101 BACON ST
PAWTUCKET
RI
028605542
Provider Mailing Phone/Fax
Phone: | 4017248400 |
Fax: | 4017225280 |