Individual
BRUCE M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
32715 DORSEY ST, WESTLAND, MI 48186-4755
(734) 641-1141
Mailing address
32715 DORSEY ST, WESTLAND, MI 48186-4755
(734) 641-1141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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