Jennie-marie Gwen Johnson, MA, LLP, CAADC, CTS - Counselor in Detroit, MI

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Jennie-marie Gwen Johnson, MA, LLP, CAADC, CTS is a Psychologist - Clinical based in Detroit, Michigan. Jennie-marie Gwen Johnson is licensed to practice in Michigan (license number 6301012115) and her current practice location is 79 W Alexandrine St, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at (313) 831-5535.

NPI number for Jennie-marie Gwen Johnson is 1336493162 and her current mailing address is 79 W Alexandrine St, Detroit, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336493162.

Contact Information

Jennie-marie Gwen Johnson, MA, LLP, CAADC, CTS
79 W Alexandrine St,
Detroit, MI 48201-2015
(313) 831-5535
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJennie-marie Gwen Johnson
GenderFemale
SpecialityPsychologist - Clinical
Location79 W Alexandrine St, Detroit, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336493162
  • Provider Enumeration Date: 10/31/2012
  • Last Update Date: 10/31/2012

Medical Identifiers

Medical identifiers for Jennie-marie Gwen Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336493162NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) C-01244 (Michigan)Secondary
103TC0700XPsychologist - Clinical 6301012115 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennie-marie Gwen Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennie-marie Gwen Johnson, MA, LLP, CAADC, CTS
79 W Alexandrine St,
Detroit, MI 48201-2015

Ph: (313) 831-5535		Jennie-marie Gwen Johnson, MA, LLP, CAADC, CTS
79 W Alexandrine St,
Detroit, MI 48201-2015

Ph: (313) 831-5535

Reviews and Comments


Psychologist in Detroit, MI


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