IndividualActive
Jonathan Johnson
NPI 1225301757 · Student in an Organized Health Care Education/Training Program · West Lebanon, NH
Provider details
- NPI number
- 1225301757
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
24 Airport Rd
West Lebanon, NH 03784-1663
Phone: (603) 298-6617
Approximate (ZIP-level) locationGet directions
Mailing address
144 Waterston Ave
Quincy, MA 02170-3432
Registry dates
- Enumerated
- 2012-02-14
- Last updated
- 2020-03-03
- Certified
- 2020-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.