NPI 1255926143

Tommie Earl Johnson, LLMSW

Practitioner Prevention Professional Grandville, MI

Practice location

Address: 3584 Fairlanes Ave SW STE 2, Grandville, MI 49418-1583
Phone: (616) 222-5300
Fax: (616) 531-0447

Registered specialties (2)

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 680115877 (MI)

Other Prevention Professional providers in Michigan →

Intellectual & Developmental Disabilities Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TM1800X

Other Psychologist providers in Michigan →

Registry record

NPI: 1255926143
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2021
Record last updated: 3 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.