Individual provider · Type 1 NPI
Melissa Johnson
Mental Health Counselor · Portage, IN
NPI number
1871302604
Active
Practice location
2648 Walnut St
Portage, IN 46368-2934
Mailing address
7941 Castleway Dr
Indianapolis, IN 46250-1953
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 1871302604
Melissa Johnson's National Provider Identifier is 1871302604, issued on Jan 6, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portage, IN. The record was last updated on Jan 6, 2025.