Individual
MS. LATINA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
29192 ALINE DR, WARREN, MI 48093-2691
(313) 286-1926
Mailing address
29192 ALINE DR, WARREN, MI 48093-2691
(313) 286-1926
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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