| Raphael David Johnson, MA, LLC | |
|
6070 Newport Rd, Portage, MI 49002-9234 | |
| (269) 409-3000 | |
| Not Available |
| Full Name | Raphael David Johnson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 6070 Newport Rd, Portage, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780400259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6451024063 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Raphael David Johnson, MA, LLC 6070 Newport Rd, Portage, MI 49002-9234 Ph: (269) 409-3000 | Raphael David Johnson, MA, LLC 6070 Newport Rd, Portage, MI 49002-9234 Ph: (269) 409-3000 |
Mrs. Pamela Regina Robinson, LLMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1151 W Milham Ave, Portage, MI 49024 Phone: 269-205-3356 |
Melissa Portia Fuller, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 7895 Currier Dr, Portage, MI 49002 Phone: 269-910-7327 |
Craig Bolthouse, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6070 Newport Rd, Portage, MI 49002 Phone: 269-409-3000 |
Casey Jo Haveman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 246 E Kilgore Rd, Portage, MI 49002 Phone: 269-249-7179 |
Tawanda Clarke, M.A., LPC, CAADC Counselor Medicare: May Accept Medicare Assignments Practice Location: 609 Southland Ave, Portage, MI 49024 Phone: 269-808-6556 |
Suzanne Degraves, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1591 W Centre Ave Ste 103&105, Portage, MI 49024 Phone: 269-323-2553 |
Gabrielle Loretta Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1595 W Centre Ave Ste 102, Portage, MI 49024 Phone: 269-246-2458 Fax: 269-459-1222 |