Individual
MICHAEL EUGENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1145 W GRAND BLVD, DETROIT, MI 48208-2336
(313) 818-9830
(313) 894-2126
Mailing address
1145 W GRAND BLVD, DETROIT, MI 48208-2336
(313) 818-9830
(313) 894-2126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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