Doctor Name: | MRS. JOY ELIZABETH INNISS-JOHNSON |
NPI Number: | 1316062052 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, CRC, CAAC, CCS |
License Number: | 6401007295 |
Business Practice Address: | 4646 John R. Road John D. Dingell Va Medical Center - Mental Health Detroit, MI - 482012410 |
Business Phone Number: | 3135761000 |
Business Fax Number: | 3135761074 |
Mailing Address: | 4646 John R. Road, Johnson D. Dingell Va Medical Center - Mental Health DETROIT |
State: | MI |
Postal Code: | 482012410 |
Phone Number: | 3135761000 |
Fax Number: | 3135761074 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 12/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401007295 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |