Individual
LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
200 W SPRING ST, MARQUETTE, MI 49855-4630
(906) 233-1236
(906) 233-1235
Mailing address
2820 COLLEGE AVE, ESCANABA, MI 49829-9591
(906) 233-1236
(906) 233-1235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301008371
MI
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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