Individual
TOYAKA TABU JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LLPC
Contact information
Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
Mailing address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
(313) 450-4513
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451016141
MI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382833497
—
MI
Enumeration date
10/04/2017
Last updated
03/03/2022
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