Individual
IDA JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
47100 SCHOENHERR RD, SUITE B, SHELBY TOWNSHIP, MI 48315-4716
(248) 840-5891
Mailing address
47100 SCHOENHERR RD, SUITE B, SHELBY TOWNSHIP, MI 48315-4716
(248) 840-5891
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008725
MI
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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