Organization
TRAVIS JOHNSON LMFT P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS JOHNSON LMFT (OWNER)
(315) 313-5979
Entity
Organization
Contact information
Practice address
1422 W SAGINAW ST, EAST LANSING, MI 48823-2434
(315) 313-5979
Mailing address
9650 GRAND RIVER AVE UNIT 4206, DETROIT, MI 48204-4014
(315) 313-5979
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006640
MI
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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