Johnson, Mikilah Terae

Johnson, Mikilah Terae is an individual health care provider with primary practice located at 831 Nw Council Dr Ste 300 , Gresham OR 97030-3725. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Johnson, Mikilah Terae can be contacted via phone (503) 258-4600.

Contact Information

Primary practice address
831 Nw Council Dr Ste 300 Gresham OR 97030-3725
Phone: (503) 258-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T1770 Oregon

Profile Details

NPI number 1760859052
LBN Legal business name Johnson, Mikilah Terae
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2015
Last updated Oct 6th, 2021 - about 4 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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