Individual
JOHANNA E CHAMPAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
25600 WOODWARD AVE STE 104, ROYAL OAK, MI 48067-0944
(248) 420-0494
Mailing address
29922 PLEASANT TRL, SOUTHFIELD, MI 48076-5720
(248) 420-0494
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013115
MI
Other
Enumeration date
07/17/2012
Last updated
10/16/2023
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