Individual
CAROL BETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
31811 MIDDLEBELT RD STE 201, FARMINGTON HILLS, MI 48334-2368
(313) 598-4652
Mailing address
18551 SAN DIEGO BLVD, LATHRUP VILLAGE, MI 48076-3315
(313) 598-4652
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401012414
MI
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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