Individual
MELINDA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15954 RIVERS EDGE DR, HAYWARD, WI 54843-7800
(715) 634-2541
(715) 598-4881
Mailing address
15735 W US HIGHWAY 63, HAYWARD, WI 54843-6475
(715) 934-0710
(715) 598-4881
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4560-125
WI
Other
Enumeration date
10/24/2012
Last updated
11/01/2023
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