Individual
GLORIA MARCELLA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
21261 KELLY RD, EASTPOINTE, MI 48021-3125
(586) 771-7253
Mailing address
24615 LATHRUP BLVD, SOUTHFIELD, MI 48075-2744
(313) 283-5361
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011563
MI
101YP2500X
Professional Counselor
6401011563
MI
Other
Enumeration date
01/25/2010
Last updated
04/19/2026
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