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Individual
MELINDA NICOLE JOHNSON
Active
Individual
MELINDA NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60133759
WA
101YP2500X
Professional Counselor
C6110
OR
Other
Enumeration date
11/05/2010
Last updated
04/15/2025
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