MIA C JOHNSON

MERRILLVILLE, IN
NPI1740952167
Former NameMIA C. MEDINA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39004056A)
Enumeration Date2021-10-04
Last Update Date2021-10-04
Business Address
MIA C JOHNSON
375 W 84TH DR
MERRILLVILLE, IN 46410-6245
Phone number: 260-421-5000
Mailing Address
MIA C JOHNSON
500 W MAIN ST
FORT WAYNE, IN 46802-1406
Phone number: 260-421-5000
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