Individual
MICHELE MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MH30656
Contact information
Practice address
1104 N PALOMINO AVE, DELL RAPIDS, SD 57022-1120
(605) 789-1405
Mailing address
1104 N PALOMINO AVE, DELL RAPIDS, SD 57022-1120
(605) 789-1405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
30656
SD
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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