Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Carlene Johnson, CTRS

Individual provider Recreation Therapist · NPI 1417295890

Miss. Carlene Johnson, CTRS is a Recreation Therapist in Grand Haven, Michigan. Registered with an NPI since 2013.

In the registry since
2013
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Practice location Address checks out

13871 Bittersweet Dr
Grand Haven, MI 49417-9450
Phone: (616) 402-7822
Fax: (855) 207-3270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X

Record details

NPI number1417295890
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorNo
NPI enumeratedJanuary 20, 2013
Last updated in NPPESJanuary 20, 2013

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