Individual
MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LPMHC
Contact information
Practice address
1400 29TH ST S STE 1, GREAT FALLS, MT 59405-5316
(406) 771-5923
Mailing address
PO BOX 125, FORT SHAW, MT 59443-0125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
BBH-LCPC-LIC-72428
MT
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-72428
MT
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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