Individual
JOHANNA CUSHING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
24 N SAINT JOSEPH AVE STE C2, NILES, MI 49120-2263
(505) 913-0000
Mailing address
24 N SAINT JOSEPH AVE STE C2, NILES, MI 49120-2263
(505) 913-0000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451023103
MI
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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