Organization
BREAKTHROUGH WELLNESS CENTRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE JOHNSON DNP, APRN (CO-OWNER)
(815) 557-9191
Entity
Organization
Contact information
Practice address
300 N OTTAWA ST, JOLIET, IL 60432-4009
(773) 466-4961
(773) 466-9277
Mailing address
300 N OTTAWA ST, JOLIET, IL 60432-4009
(773) 466-4961
(773) 466-9277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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