Individual
MRS. MELANIE ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT, LADC
Contact information
Practice address
4972 N.W. 30TH PLACE, OKC, OK 73122
(405) 850-9255
Mailing address
4972 N.W. 30TH PLACE, OKC, OK 73122
(405) 850-9255
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
661
OK
101YM0800X
Mental Health Counselor
Primary
2003
OK
106H00000X
Marriage & Family Therapist
813
OK
Other
Enumeration date
04/06/2010
Last updated
08/23/2022
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