Individual
MRS. CHELSEA JEAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
703 N STATE ST, GOBLES, MI 49055-9408
(269) 635-3634
Mailing address
703 N STATE ST, GOBLES, MI 49055-9408
(269) 635-3634
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401016843
MI
101YM0800X
Mental Health Counselor
6401019279
MI
101YP2500X
Professional Counselor
Primary
6401019279
MI
Other
Enumeration date
01/20/2019
Last updated
04/30/2021
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