Individual
CHANDELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
2615 STADIUM DR, KALAMAZOO, MI 49008-1654
(269) 343-1651
Mailing address
2615 STADIUM DR, KALAMAZOO, MI 49008-1654
(269) 343-1651
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851117124
MI
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/12/2015
Last updated
05/14/2025
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