Individual
CHRISTINA M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSPH, CBD-CPD, IBCLC
Contact information
Practice address
905 W 11 MILE RD, MADISON HEIGHTS, MI 48071-3103
(734) 224-5471
Mailing address
25151 DEQUINDRE RD LOT 67, MADISON HEIGHTS, MI 48071-4221
(734) 224-5471
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
L-313068
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374J00000X
Doula
—
MI
376K00000X
Nurse's Aide
—
—
405300000X
Prevention Professional
DP-CPS8305
MI
Other
Enumeration date
07/06/2023
Last updated
12/23/2025
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