Individual
MRS. VALERIE JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8761
(847) 360-2920
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8761
(847) 360-2920
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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