Individual
MONIQUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6130 MICHIGAN RD, INDIANAPOLIS, IN 46228-1200
(773) 746-4423
Mailing address
6117 PEREGRINE BLVD, INDIANAPOLIS, IN 46228-1508
(773) 746-4423
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008592A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
N/A
—
Enumeration date
06/24/2021
Last updated
06/24/2021
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