CHANEL GEORGETTE JOHNSON

CLINTON TOWNSHIP, MI
NPI1912411273
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: MI  6401018436)
Additional Taxonomies101YP2500X Counselor Professional
(Licence: MI  6401016390)
Enumeration Date2017-11-24
Last Update Date2020-10-07
Business Address
CHANEL GEORGETTE JOHNSON LPC
44899 CENTRE CT STE 101
CLINTON TOWNSHIP, MI 48038
Phone number: 586-792-1654
Mailing Address
CHANEL GEORGETTE JOHNSON LPC
1463 BEACONSFIELD AVE APT 2N
GROSSE POINTE PARK, MI 48230-1087
Phone number: 586-359-5269