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NPI Code Detail

MEDICARE: MICHELLE JOHNSON AMFT

MEDICARE: MICHELLE JOHNSON AMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist142217CA

General Provider Information

NPI Number : 1285433391
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE JOHNSON AMFT
Provider Business Mailing Address
First Line : 6882 LITTLE HARBOR DR
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92648-2124
Country : US
Telephone Number : 562-277-1196
Fax Number :
Provider Business Practice Location Address
First Line : 6882 LITTLE HARBOR DR
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92648-2124
Country : US
Telephone Number : 562-277-1196
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2025
Last Update Date : 03/11/2025

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