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NPI Code Detail

MEDICARE: MELISSA JOHNSON

MEDICARE: MELISSA JOHNSON
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
1101YS0200XSchool Counselor

General Provider Information

NPI Number : 1902619893
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA JOHNSON
Provider Business Mailing Address
First Line : 4138 ROMAN CT
Second Line :
City : COLUMBUS
State : GA
Zip : 31907-6228
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4138 ROMAN CT
Second Line :
City : COLUMBUS
State : GA
Zip : 31907-6228
Country : US
Telephone Number : 706-587-9732
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2025
Last Update Date : 01/27/2025

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Directions to “ MELISSA JOHNSON ” Practice Location

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