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Individual

KATINA R JOHNSON-PEASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
41521 W 11 MILE RD, NOVI, MI 48375
(248) 299-0030
Mailing address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401015788
MI
101YM0800X
Mental Health Counselor
APC002573
GA
101YM0800X
Mental Health Counselor
Primary
LPC007217
GA
106S00000X
Behavior Technician

Other

Enumeration date
02/07/2012
Last updated
08/17/2018
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