Individual provider · Type 1 NPI
Melissa Johnson, M.S.ED.
Mental Health Counselor · Port Jefferson Station, NY
NPI number
1174910327
Active
Practice location
5141 Nesconset Hwy # 1007
Port Jefferson Station, NY 11776-1355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1174910327
Melissa Johnson, M.S.ED.'s National Provider Identifier is 1174910327, issued on Apr 24, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jun 11, 2025.