Organization
JOHANNA E CHAMPAGNE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA CHAMPAGNE LPC (OWNER / AUTHORIZED OFFICIAL)
(248) 518-0018
Entity
Organization
Contact information
Practice address
1103 S WASHINGTON AVE, ROYAL OAK, MI 48067-3219
(248) 518-0018
Mailing address
1103 S WASHINGTON AVE, ROYAL OAK, MI 48067-3219
(248) 518-0018
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013115
MI
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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