Individual
DENISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, LMHC
Contact information
Practice address
4720 GUILFORD AVE, INDIANAPOLIS, IN 46205-1956
(317) 283-3270
(317) 283-2685
Mailing address
4720 GUILFORD AVE, INDIANAPOLIS, IN 46205-1956
(317) 283-3270
(317) 283-2685
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39000912A
IN
101YP1600X
Pastoral Counselor
39000912A
IN
101YP2500X
Professional Counselor
39000912A
IN
104100000X
Social Worker
Primary
33003101A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33003101A
SOCIAL WORKER LICENSE
IN
01
—
39000912A
MENTAL HEALTH COUNSELOR
IN
Enumeration date
04/30/2007
Last updated
09/11/2025
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