Individual
MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3032 ALVEY PARK DR W STE 200, OWENSBORO, KY 42303-2105
(270) 302-6520
Mailing address
2617 SPENDTHRIFT CV, OWENSBORO, KY 42303-4543
(270) 993-9833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9175-C
AR
Other
Enumeration date
07/30/2025
Last updated
08/11/2025
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