Individual
MS. DIANE JOHANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LCPC
Contact information
Practice address
2100 MANCHESTER RD STE 900, WHEATON, IL 60187-4521
(630) 665-1255
Mailing address
464 S PRESIDENT ST APT 304, CAROL STREAM, IL 60188-2891
(630) 665-1255
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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