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 |