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Individual
MRS. MELISSA ANN JOHNSON
Active
Individual
MRS. MELISSA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS, CCS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CCS-20157
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS 3167
NC
1041C0700X
Clinical Social Worker
Primary
C008895
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215113162
—
NC
Enumeration date
01/10/2008
Last updated
07/13/2022
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