Individual
MS. DOMINIQUE JONTA-MICHELE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 574-9640
Mailing address
37717 ARBOR WOODS DR, LIVONIA, MI 48150-3491
(313) 574-9640
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/01/2013
Last updated
11/10/2021
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