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Organization
NEW DIRECTIONS COUNSELING CENTER
Active
Organization
NEW DIRECTIONS COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M JOHNSON LCSW (OWNER)
(563) 242-5316
Entity
Organization
Contact information
Practice address
28 E MARION ST STE 5, PRINCETON, IL 61356-2098
(815) 875-2192
(815) 879-0168
Mailing address
PO BOX 361, CLINTON, IA 52733-0361
(563) 242-5316
(563) 242-3128
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417375650
—
IL
Enumeration date
01/23/2020
Last updated
01/23/2020
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