Individual
CAROL ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
832 FOREST HILL AVE SE, GRAND RAPIDS, MI 49546-2326
(616) 940-9001
(616) 940-7355
Mailing address
832 FOREST HILL AVE SE, GRAND RAPIDS, MI 49546-2326
(616) 940-9001
(616) 940-7355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CJ077444
MI
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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