Individual
MITCHELL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 N VINEYARD BLVD STE A330, HONOLULU, HI 96817-3950
(303) 514-6665
Mailing address
126 AIKAHI LOOP, KAILUA, HI 96734-1642
(303) 514-6665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC-926
HI
101YP2500X
Professional Counselor
LPC.0019148
CO
Other
Enumeration date
11/02/2022
Last updated
04/17/2024
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