Individual
DAMITA JOHNSON
Active
Individual
DAMITA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
172A00000X
Driver
J525135122103
MI
372600000X
Adult Companion
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
10/28/2024
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