Individual provider · Type 1 NPI

Mikilah Terae Johnson, MA

Marriage & Family Therapist · Gresham, OR

NPI number 1760859052 Active

Practice location

831 NW Council Dr Ste 300
Gresham, OR 97030-3725

Mailing address

11035 NE Sandy Blvd
Portland, OR 97220-2553

Other practice locations

  • 303 Van Buren Ave, Oakland, CA 94610-4340 · (503) 449-0901

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Marriage & Family Therapist 106H00000XNone listed
Marriage & Family Therapist Primary 106H00000XT1770 (OR)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1760859052

Mikilah Terae Johnson, MA's National Provider Identifier is 1760859052, issued on Aug 21, 2015. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Gresham, OR. The record was last updated on Oct 6, 2021.