Individual
MR. JOHNNIE CRAIG COLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,LLP
Contact information
Practice address
1240 W SANILAC RD, SANDUSKY, MI 48471-9654
(810) 648-3248
Mailing address
4606 SEEGER ST, CASS CITY, MI 48726-1229
(989) 872-5466
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007335
MI
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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