person
Mr. Robert Gerard Johnson SR., LPC,SPADA,CAAC
Professional Counselor in Grand Rapids, Michigan
NPI 1255465258

Robert Gerard Johnson SR. is a Professional Counselor based in Grand Rapids, MI and is specialized in Professional. Robert Gerard Johnson SR. practices in Grand Rapids, MI and has the professional credentials of LPC,SPADA,CAAC. The NPI Number for Robert Gerard Johnson SR. is 1255465258 and holds a License No. C-01218 (Michigan).

The current practice location address for Robert Gerard Johnson SR. is 300 68Th St Se, Grand Rapids, MI and can be reached out via phone at 616-281-6363 and via fax at 616-455-5460.

Location: 300 68Th St Se, Grand Rapids, MI, 49548-6927
person
Provider Profile Details
NPI Number
1255465258
Provider Name
Robert Gerard Johnson SR.
Credential
LPC,SPADA,CAAC
Provider Entity Type
Individual
Gender
Male
Address
300 68Th St Se, Grand Rapids, MI, 49548-6927
Phone Number
616-281-6363
Fax Number
616-455-5460
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NCFR 01 CERTIFIED FAMILY LIFE EDUCATOR CFLE- NATIONAL COUNSEL ON FAMILY RELATIONS
C-012118 CAAC 01 MI CERTIFIED ADVANCED ADDICTION COUNSELOR
6401008579 01 MI PROFESSIONAL COUNSELOR
institution
Provider Business Practice Location Address Details
Address
300 68Th St Se
City
State
Zip
49548-6927
Phone Number
616-281-6363
Fax Number
616-455-5460
person
Provider Business Mailing Address Details
Address
300 68Th St Se
City
State
Zip
49548-6927
Phone Number
616-281-6363
Fax Number
616-455-5460
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
6401008579 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C-01218 (Michigan)
Definition
Definition to come...
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