Individual
JENAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1523 E LARNED ST APT 4, DETROIT, MI 48207-3031
(323) 383-7325
Mailing address
1523 E LARNED ST APT 4, DETROIT, MI 48207-3031
(323) 383-7325
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6352001005
MI
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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