Individual
GABRIELLE ANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
453 COVENTRY LN STE 103, CRYSTAL LAKE, IL 60014-7504
(847) 778-6992
Mailing address
453 COVENTRY LN STE 103, CRYSTAL LAKE, IL 60014-7504
(847) 778-6992
(224) 858-7373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.007894
IL
101YM0800X
Mental Health Counselor
180008951
IL
101YP2500X
Professional Counselor
Primary
180.008951
IL
Other
Enumeration date
07/02/2013
Last updated
03/06/2021
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