Johnson, Robert Gerard
Johnson, Robert Gerard is an sole proprietor health care provider with primary practice located at 300 68Th St Se , Grand Rapids MI 49548-6927. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Johnson, Robert Gerard can be contacted via phone (616) 281-6363.Contact Information
Primary practice address
300 68Th St Se
Grand Rapids MI 49548-6927
Phone: (616) 281-6363
Fax: (616) 455-5460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C-01218 | Michigan |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6401008579 | Michigan |
Profile Details
| NPI number | 1255465258 |
|---|---|
| LBN Legal business name | Johnson, Robert Gerard |
| Credentials | LPC, SPADA, CAAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Aug 30th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255465258 | NPPES |
| Other | NCFR | CERTIFIED FAMILY LIFE EDUCATOR CFLE- NATIONAL COUNSEL ON FAMILY RELATIONS | |
| Other | C-012118 CAAC | CERTIFIED FAMILY LIFE EDUCATOR CFLE- NATIONAL COUNSEL ON FAMILY RELATIONS | |
| Other | 6401008579 | CERTIFIED FAMILY LIFE EDUCATOR CFLE- NATIONAL COUNSEL ON FAMILY RELATIONS |
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