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Jennie-marie Gwen Johnson, MA,LLP,CAADC,CTS
Clinical Psychologist in Detroit, Michigan
NPI 1336493162

Jennie-marie Gwen Johnson is a Clinical Psychologist based in Detroit, MI and is specialized in Clinical. Jennie-marie Gwen Johnson practices in Detroit, MI and has the professional credentials of MA,LLP,CAADC,CTS. The NPI Number for Jennie-marie Gwen Johnson is 1336493162 and holds a License No. C-01244 (Michigan).

The current practice location address for Jennie-marie Gwen Johnson is 79 W Alexandrine St, Detroit, MI and can be reached out via phone at 313-831-5535.

Location: 79 W Alexandrine St, Detroit, MI, 48201-2015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336493162
Provider Name
Jennie-marie Gwen Johnson
Credential
MA,LLP,CAADC,CTS
Provider Entity Type
Individual
Gender
Female
Address
79 W Alexandrine St, Detroit, MI, 48201-2015
Phone Number
313-831-5535
Fax Number
Provider Enumeration Date
10/31/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
79 W Alexandrine St
City
Detroit
State
Michigan
Zip
48201-2015
Phone Number
313-831-5535
Fax Number
person
Provider Business Mailing Address Details
Address
79 W Alexandrine St
City
Detroit
State
Michigan
Zip
48201-2015
Phone Number
313-831-5535
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
6301012115 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
C-01244 (Michigan)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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