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Individual

DENISE JUNE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, NCC

Contact information

Practice address
906 LINCOLN ST, JACKSON, MI 49202-3251
(517) 962-2932
Mailing address
906 LINCOLN ST, JACKSON, MI 49202-3251
(517) 962-2932

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009109
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
295858
NATIONAL BOARD OF COUNSELOR CERTIFICATION
01
6401009109
STATE OF MICHIGAN
MI
Enumeration date
01/30/2018
Last updated
01/21/2021
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