| Lana Johnson Lcsw Llc | |
|
10761 Riverside Dr White Pigeon MI 49099-9191 | |
| (574) 400-5724 | |
| (574) 293-0019 |
| Full Name | Lana Johnson Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10761 Riverside Dr, White Pigeon, Michigan |
| Authorized Official Name and Position | Lana Beth Johnson (PRESIDENT) |
| Authorized Official Contact | 5744005724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lana Johnson Lcsw Llc 10761 Riverside Dr White Pigeon MI 49099-9191 Ph: (574) 400-5724 | Lana Johnson Lcsw Llc 10761 Riverside Dr White Pigeon MI 49099-9191 Ph: (574) 400-5724 |
| NPI Number | 1639543747 |
|---|---|
| Provider Enumeration Date | 11/30/2015 |
| Last Update Date | 11/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639543747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34006584A (Indiana) | Primary |
News Archive
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