Individual provider · Type 1 NPI
Phillip D. Johnson, PhD
Professional Counselor · Kalamazoo, MI
NPI number
1740624436
Active
Practice location
821 W South St Ste F
Kalamazoo, MI 49007-4684
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | 6401009439 (MI) |
Professional Counselor: Definition to come...
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About NPI 1740624436
Phillip D. Johnson, PhD's National Provider Identifier is 1740624436, issued on Apr 24, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kalamazoo, MI. The record was last updated on Apr 24, 2013.