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1104514496
MELINDA ELAINE JOHNSON
BEND, OR
NPI
1104514496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR T2227)
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
MELINDA ELAINE JOHNSON LMFT
131 NW HAWTHORNE AVENUE STE 103
BEND, OR 97703-2957
Phone number: 541-697-4863
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Mailing Address
MELINDA ELAINE JOHNSON LMFT
61540 SE COLIMA ST
BEND, OR 97702-3873
Phone number: 478-719-0112
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