ANTHONY DERRICK JOHNSON

FLINT, MI
NPI1932915444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-12-09
Last Update Date2024-12-09
Business Address
ANTHONY DERRICK JOHNSON
504 N GRAND TRAVERSE ST
FLINT, MI 48503-2536
Phone number: 810-487-4676
Mailing Address
ANTHONY DERRICK JOHNSON
5099 W FARRAND RD
CLIO, MI 48420-8215
Phone number: 586-491-1057
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