Individual
MS. ALEXIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CADC
Contact information
Practice address
2609 ELECTRIC AVE, STE A, PORT HURON, MI 48060-6589
(810) 357-1725
(810) 982-9802
Mailing address
2609 ELECTRIC AVE, STE A, PORT HURON, MI 48060-6589
(810) 357-1725
(810) 982-9802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2-01129
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MI
1041C0700X
Clinical Social Worker
6801091221
MI
1041C0700X
Clinical Social Worker
Primary
—
MI
Other
Enumeration date
03/16/2013
Last updated
01/18/2017
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