| Travis Johnson Lmft P.c. | |
|
1422 W Saginaw St East Lansing MI 48823-2434 | |
| (315) 313-5979 | |
| Not Available |
| Full Name | Travis Johnson Lmft P.c. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1422 W Saginaw St, East Lansing, Michigan |
| Authorized Official Name and Position | Travis Johnson (OWNER) |
| Authorized Official Contact | 3153135979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Johnson Lmft P.c. 9650 Grand River Ave Unit 4206 Detroit MI 48204-4014 Ph: (315) 313-5979 | Travis Johnson Lmft P.c. 1422 W Saginaw St East Lansing MI 48823-2434 Ph: (315) 313-5979 |
| NPI Number | 1811482847 |
|---|---|
| Provider Enumeration Date | 06/22/2018 |
| Last Update Date | 06/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811482847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 4101006640 (Michigan) | Primary |
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