Individual
MISS MELINDA J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1087 ALICE AVE, MEMPHIS, TN 38106-6543
(901) 259-1920
(901) 259-1922
Mailing address
1366 CARRIAGE VIEW LANE, MEMPHIS, TN 38671
(662) 342-3698
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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