Search › Michigan › 104100000X
Courtney Johnson, LMSW, CAADC
NPI 1124373352 · on the registry since 2012 · sole proprietor
Practice
- Address
- 6701 Old 28th St Se
Ste A
Grand Rapids, MI 49546 - Phone
- (616) 426-2168
- Fax
- (866) 257-5918
- Organisation at this address
- Kristinas Therapy Services Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 6701 Old 28th St Se, Grand Rapids, MI
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YA0400X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan