TERRY LYNN JOHNSON

GRAND RAPIDS, MI
NPI1932618618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-09-25
Last Update Date2017-09-25
Business Address
TERRY LYNN JOHNSON
1939 S DIVISION AVE
GRAND RAPIDS, MI 49507
Phone number: 616-247-3815
Mailing Address
TERRY LYNN JOHNSON
1939 S DIVISION AVE
GRAND RAPIDS, MI 49507
Phone number: 616-247-3815
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