Organization
CHILD AND FAMILY COUNSELING OF CHAMPAIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILEE JOHNSON LCPC (OWNER)
(242) 232-8057
Entity
Organization
Contact information
Practice address
313 N MATTIS AVE STE 116, CHAMPAIGN, IL 61821-7900
(224) 232-8057
(217) 888-2744
Mailing address
706 LAVENDER DR, SAVOY, IL 61874-9322
(224) 326-1943
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/17/2018
Last updated
10/16/2024
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