Johnson-Mastin, Michelle
Johnson-Mastin, Michelle is an individual health care provider with primary practice located at 6418 Deans Hill Rd , Berrien Center MI 49102-8713. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Johnson-Mastin, Michelle can be contacted via phone (269) 815-5500.Contact Information
Primary practice address
6418 Deans Hill Rd
Berrien Center MI 49102-8713
Phone: (269) 815-5500
Fax: (269) 815-5373
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 680193354 | Michigan |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6801093354 | Michigan |
Profile Details
NPI number | 1467804104 |
---|---|
LBN Legal business name | Johnson-Mastin, Michelle |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 6th, 2016 |
Last updated | Jul 13th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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