Individual
DOMINIQUE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4673 WASHTENAW AVE, ANN ARBOR, MI 48108-1301
(734) 547-5009
Mailing address
1825 EILEEN ST, YPSILANTI, MI 48198-6239
(734) 644-0685
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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