Johnston, Melinda Maris

Johnston, Melinda Maris is an sole proprietor health care provider with primary practice located at 5340 Holiday Ter , Kalamazoo MI 49009-2196. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Johnston, Melinda Maris can be contacted via phone (269) 372-4140.

Contact Information

Primary practice address
5340 Holiday Ter Kalamazoo MI 49009-2196
Phone: (269) 372-4140
Fax: (269) 372-0390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401009761 Michigan
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6301011212 Michigan

Profile Details

NPI number 1063456093
LBN Legal business name Johnston, Melinda Maris
Credentials M.A. L.L.P. L.L.P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Jul 14th, 2009 - about 16 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 1063456093 NPPES
Michigan Other 0897457 BLUE CROSS BLUE SHIELD OF MICHIGAN

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