Individual
DR. PHILLIP D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
821 W SOUTH ST STE F, KALAMAZOO, MI 49007-4684
(269) 873-0726
Mailing address
821 W SOUTH ST STE F, KALAMAZOO, MI 49007-4684
(269) 873-0726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401009439
MI
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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