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Individual

BENJAMIN W JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LLPC

Contact information

Practice address
1901 NILES AVE, SAINT JOSEPH, MI 49085-1615
(269) 982-7200
Mailing address
300 W FERRY ST, BERRIEN SPRINGS, MI 49103-1109
(269) 815-5331

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015526
MI

Other

Enumeration date
08/03/2016
Last updated
10/03/2018
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