| Doctor Name: | MISS MICHELLE TERRY JOHNSON |
| NPI Number: | 1003084260 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, CADC |
| License Number: | |
| Business Practice Address: | 306 N 3rd Ave E Newton, IA - 502083249 |
| Business Phone Number: | 6417924012 |
| Business Fax Number: | 6417910697 |
| Mailing Address: | 306 N 3rd Ave E, NEWTON |
| State: | IA |
| Postal Code: | 502083249 |
| Phone Number: | 6417924012 |
| Fax Number: | 6417910697 |
| NPI Enumeration Date: | 02/11/2008 |
| NPI Last Update Date: | 02/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |