Individual
IESHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHCA
Contact information
Practice address
7725 BROADWAY, MERRILLVILLE, IN 46410-4731
(219) 736-1000
(219) 736-9699
Mailing address
6017 E 115TH LN, WINFIELD, IN 46307-0240
(219) 292-8345
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
99124301A
IN
101YM0800X
Mental Health Counselor
Primary
99124301A
IN
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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