Provider Demographics
NPI:1003515545
Name:JOHNSON, BARBARA MADDEN (MA;LPC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:MADDEN
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MA;LPC
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:JEAN
Other - Last Name:MADDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:346 COMMON ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-2827
Mailing Address - Country:US
Mailing Address - Phone:617-417-2592
Mailing Address - Fax:
Practice Address - Street 1:346 COMMON ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-2827
Practice Address - Country:US
Practice Address - Phone:617-417-2592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9151101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor