Individual
CHERINA DAWN JOHNSON STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 559-5896
Mailing address
315 HAYWOOD DR, KATHLEEN, GA 31047-3117
(209) 598-5861
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401222308
MI
101YM0800X
Mental Health Counselor
LPC006376
GA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401222308
MI
Other
Enumeration date
12/30/2009
Last updated
01/23/2024
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