Individual
MYLISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 SCOTT AVE, MORGANTOWN, WV 26508-8804
(304) 296-1731
Mailing address
802 BRUNSWICK CT, MORGANTOWN, WV 26508-4838
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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