Individual
MELISSA M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1711 BARDSTOWN RD STE 102, LOUISVILLE, KY 40205-1293
(502) 653-3385
Mailing address
PO BOX 4755, LOUISVILLE, KY 40204-0755
(502) 653-3385
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3752
KY
Other
Enumeration date
12/03/2013
Last updated
12/20/2017
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