Individual provider · Type 1 NPI

Samantha Lynne Johnson, LLPC CRC

Professional Counselor · St. Clair Shores, MI

NPI number 1104697218 Active

Practice location

21611 E 11 Mile Rd
St. Clair Shores, MI 48081-1636

Call (586) 944-2902 Map

Mailing address

11638 Charest St
Hamtramck, MI 48212-3027

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6451023282 (MI)

Professional Counselor: Definition to come...

10 other providers at this address

Other professional counselor providers in St. Clair Shores

See all in St. Clair Shores →

About NPI 1104697218

Samantha Lynne Johnson, LLPC CRC's National Provider Identifier is 1104697218, issued on Jan 9, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Clair Shores, MI. The record was last updated on Jun 29, 2026.