MISS JOHNNA ELAINE MARCUS LICSW NPI 1538717277

NPI Information

MISS Johnna Elaine Marcus, LICSW is an addiction (substance use disorder) counselor in Boston, MA. MISS Johnna Elaine Marcus, LICSW NPI is 1538717277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

330 BROOKLINE AVE
BOSTON, MA
ZIP 02215-400
Phone: (617) 667-7618
Fax: (617) 667-4469

The NPI 1538717277 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/27/2019 and was last updated on 8/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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