Individual provider · Type 1 NPI

Dominique Johnson

Clinic/Center · Ann Arbor, MI

NPI number 1891586210 Active

Practice location

4673 Washtenaw Ave
Ann Arbor, MI 48108-1301

Call (734) 547-5009 Map

Mailing address

1825 Eileen St
Ypsilanti, MI 48198-6239

Other practice locations

  • 1825 Eileen St, Ypsilanti, MI 48198-6239 · (734) 644-0685

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Community Health Clinic/Center 261QC1500XNone listed
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405XNone listed
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

13 other providers at this address

About NPI 1891586210

Dominique Johnson's National Provider Identifier is 1891586210, issued on May 15, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Ann Arbor, MI. The record was last updated on May 15, 2025.