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Individual

MRS. DANITA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5569 BRACKEN DR, INDIANAPOLIS, IN 46239-6876
(317) 789-7653
Mailing address
5569 BRACKEN DR, INDIANAPOLIS, IN 46239-6876

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171W00000X
Contractor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201903221312534
FIRST STEPS IN THE RIGHT DIRECTION BEHAVIORAL CONSULTING
IN
Enumeration date
06/21/2019
Last updated
09/09/2022
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