Individual
MICHELLE ROSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
235 W WESTERN AVE, AVONDALE, AZ 85323-1848
(602) 230-7373
(602) 230-3086
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
(602) 682-7455
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-18926
AZ
101YP2500X
Professional Counselor
LPC-18926
AZ
Other
Enumeration date
04/28/2020
Last updated
03/26/2024
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