| Doctor Name: | MRS. MELANIE ANN JOHNSON |
| NPI Number: | 1154646834 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LMFT, LADC |
| License Number: | 661 |
| Business Practice Address: | 4101 Perimeter Center Dr. Ste. 250 Okc, OK - 73112 |
| Business Phone Number: | 4057510800 |
| Business Fax Number: | |
| Mailing Address: | 4972 N.w. 30th Place, OKC |
| State: | OK |
| Postal Code: | 73122 |
| Phone Number: | 4057510800 |
| Fax Number: | |
| NPI Enumeration Date: | 04/06/2010 |
| NPI Last Update Date: | 04/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 661 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |