Johnson, Michelle L

Johnson, Michelle L is an individual health care provider with primary practice located at 914 Mission Ave Fl 3 , San Rafael CA 94901-6106. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Johnson, Michelle L can be contacted via phone (415) 457-6964.

Contact Information

Primary practice address
914 Mission Ave Fl 3 San Rafael CA 94901-6106
Phone: (415) 457-6964
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1639367618
LBN Legal business name Johnson, Michelle L
Credentials MSW, CADC 2
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2007
Last updated Jun 8th, 2010 - about 15 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.

Request for update

Popular Providers