Individual
SAMANTHA LYNNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC CRC
Contact information
Practice address
21611 E 11 MILE RD, SAINT CLAIR SHORES, MI 48081-1636
(586) 944-2902
Mailing address
11638 CHAREST ST, HAMTRAMCK, MI 48212-3027
(248) 880-2131
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451023282
MI
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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