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Individual
MELINDA MARIS JOHNSTON
Active
Individual
MELINDA MARIS JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. L.L.P. L.L.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401009761
MI
103TC1900X
Counseling Psychologist
6301011212
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0897457
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
06/16/2006
Last updated
07/14/2009
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