Female

Christina M. Johnson BSPH, CBD-CPD, IBCLC

Full Name

Christina M Johnson BSPH, CBD-CPD, IBCLC

NPI Number

1285312595

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/06/2023

Specialties

(Taxonomies)

Code

372600000X
372500000X
172V00000X
374J00000X
171400000X
174H00000X
376K00000X
133NN1002X
405300000X

Primary Taxonomy

No
No
No
No
No
No
No
No
No

Licenses

State

Michigan

License Number

DP-CPS8305

Contact
Information

Purpose

Mailing
Location

Address

25151 DEQUINDRE RD LOT 67
905 W 11 MILE RD

City

Madison Heights
Madison Heights

State

MI
MI

Postal Code

48071-4221
48071-3103

Country

US
US

Telephone Number

(734) 224-5471
(734) 224-5471

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/29/2024

Provider Address