Individual
MICHAEL BRIAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. LPC
Contact information
Practice address
6960 ORCHARD LAKE RD, SUITE 100, WEST BLOOMFIELD, MI 48322-4515
(248) 626-1500
Mailing address
24680 THORNDYKE ST, SOUTHFIELD, MI 48033-2926
(248) 356-2417
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011011
MI
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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