JENNIE-MARIE GWEN JOHNSON MA, LLP, CAADC, CTS
NPI 1336493162
Psychologist - Clinical in Detroit, MI

Q: What is Jennie-marie Johnson's NPI number?

The NPI number for Jennie-marie Johnson is 1336493162. It was assigned to this individual provider in the NPPES registry on October 31, 2012.

Q: What is Jennie-marie Johnson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since October 31, 2012

79 W ALEXANDRINE ST, DETROIT, MI 48201(313) 831-5535 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennie-marie Gwen Johnson Ma, Llp, Caadc, Cts NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIE-MARIE GWEN JOHNSON MA, LLP, CAADC, CTS (NPI 1336493162) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6301012115) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1336493162

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJENNIE-MARIE GWEN JOHNSONCredential: MA, LLP, CAADC, CTS

Location Address79 W ALEXANDRINE STDetroit, MI 48201-2015

Mailing Address79 W Alexandrine StDetroit, MI 48201-2015 · (313) 831-5535

Phone(313) 831-5535

Sole ProprietorYes

Enumeration DateOctober 31, 2012

✔ NPI 1336493162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301012115

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C-01244 (MI)

79 W ALEXANDRINE ST, Detroit, MI 48201

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEAH WELTON MSW

Social Worker (Clinical)