Individual
MICHAEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
84 S SEAWAY DR, NORTON SHORES, MI 49444-3841
(231) 733-9800
(231) 733-1949
Mailing address
84 S SEAWAY DR, NORTON SHORES, MI 49444-3841
(231) 733-9800
(231) 733-1949
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-01004
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06-1756075
—
MI
Enumeration date
04/25/2014
Last updated
04/25/2014
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