Johnson, Melissa Marie

Johnson, Melissa Marie is an sole proprietor health care provider with primary practice located at 9 Vose Avenue , South Orange NJ 07079. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Dietary & Nutritional Service Providers / Nutritionist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Melissa Marie can be contacted via phone (973) 901-9428.

Contact Information

Primary practice address
9 Vose Avenue South Orange NJ 07079
Phone: (973) 901-9428
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00707200 New Jersey
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 37PC00707200 New Jersey
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00707200 New Jersey

Profile Details

NPI number 1255946216
LBN Legal business name Johnson, Melissa Marie
Credentials MA, LPC, NCC, ATR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2020
Last updated Jul 27th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255946216 NPPES
New Jersey MEDICAID 1578927851

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