Individual
JESSICA REID JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53 W JACKSON BLVD STE 804, CHICAGO, IL 60604-3493
(773) 860-1001
(773) 860-1001
Mailing address
1337 W WOLFRAM ST, CHICAGO, IL 60657-4114
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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