Individual
JUANITA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13336-40 E. WARREN AVE, DETROIT, MI 48215
(313) 822-6940
Mailing address
13336-40 E. WARREN AVE, DETROIT, MI 48215
(313) 822-6940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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