Individual
MS. PURNINA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1171 STONEBROOK CT NE, GRAND RAPIDS, MI 49505-7218
(818) 860-2625
Mailing address
1171 STONEBROOK CT NE, GRAND RAPIDS, MI 49505-7218
(818) 860-2625
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
03/04/2025
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