Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennie-Marie Gwen Johnson, MA, LLP, CAADC, CTS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1336493162

Jennie-Marie Gwen Johnson, MA, LLP, CAADC, CTS is an Addiction (Substance Use Disorder) Counselor in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

79 W Alexandrine St
Detroit, MI 48201-2015
Phone: (313) 831-5535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301012115 (MI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence C-01244 (MI)

Record details

NPI number1336493162
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LLP , CAADC , CTS
Sole proprietorYes
NPI enumeratedOctober 31, 2012
Last updated in NPPESOctober 31, 2012

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