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

Specialty	Code	License #	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 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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Identifiers

State	Type	Number	Issuer
All States	NPI	1255946216	NPPES
New Jersey	MEDICAID	1578927851

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