Organization
MBJ COUNSELING PC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BAZIN-JOHNSON LCSW (PRESIDENT)
(219) 336-4866
Entity
Organization
Contact information
Practice address
107 WOODLAND COURT SUITE B, MICHIGAN CITY, IN 46360
(219) 336-4866
Mailing address
107 WOODLAND COURT SUITE B, MICHIGAN CITY, IN 46360
(219) 336-4866
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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