Individual
MARIO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9935 CHEYENNE ST, DETROIT, MI 48227-3705
(248) 915-2075
Mailing address
9935 CHEYENNE ST, DETROIT, MI 48227-3705
(248) 915-2075
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
MI
Other
Enumeration date
08/08/2026
Last updated
08/08/2026
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