Individual
CHRISTI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., M.H.P.
Contact information
Practice address
12 HEALTH SERVICES DR, DEKALB, IL 60115-9637
(815) 756-4875
(815) 756-5849
Mailing address
12 HEALTH SERVICES DR, DEKALB, IL 60115-9637
(815) 756-4875
(815) 756-5849
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
362771343
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362771343001
—
IL
Enumeration date
09/17/2015
Last updated
09/17/2015
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