Organization
DETROIT HEALTH & WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA KRISTINE JOHNSON PH.D. (CLINICAL DIRECTOR)
(248) 766-3209
Entity
Organization
Contact information
Practice address
1001 WOODWARD AVE FL 5, DETROIT, MI 48226-1904
(313) 739-7836
(313) 557-1662
Mailing address
8200 E JEFFERSON AVE APT 1604, DETROIT, MI 48214-3978
(248) 766-3209
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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