Individual
ROGER K JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
17384 BEAVERLAND ST, DETROIT, MI 48219-3154
(313) 578-1148
Mailing address
17384 BEAVERLAND ST, DETROIT, MI 48219-3154
(313) 578-1148
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401020284
MI
Other
Enumeration date
07/24/2023
Last updated
12/10/2024
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