Melanie Jean Johnson | Valparaiso, IN • PECOS Search

Melanie Jean Johnson

Counselor

Behavioral Health & Social Service Providers

601 Wall St, Valparaiso, IN 46383-2512

PECOS Enrollment

Based on the most recent information from CMS, provider Melanie Jean Johnson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1821372244
Provider Type
Individual
Full Name
Johnson, Melanie Jean
Credential
M.A.

Gender
Female
Sole Proprietor
No
Enumeration Date
10/4/2011
Last Updated
10/4/2011

Contact Information

Practice Location

601 Wall St, Valparaiso, IN 46383-2512

(219) 476-4560

Mailing Location

508 1/2 Lake St, Hobart, IN 46342-5108

(219) 476-4560

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer