Individual
MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1510 W FRANKLIN ST, SUITE A, EVANSVILLE, IN 47710-1032
(812) 424-0223
(812) 424-0226
Mailing address
932 NEGLEY AVE # B, EVANSVILLE, IN 47711-3434
(812) 760-0140
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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