Individual
MRS. MELANIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
600 DAKOTA ST, SUITE B, CRYSTAL LAKE, IL 60012-3742
(847) 220-8428
Mailing address
600 DAKOTA ST, SUITE B, CRYSTAL LAKE, IL 60012-3742
(847) 220-8428
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.000967
IL
Other
Enumeration date
05/25/2012
Last updated
11/19/2024
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