Individual
RUTH LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
388 WALNUT AVE, WHEELING, IL 60090-5036
(773) 720-4029
Mailing address
388 WALNUT AVE, WHEELING, IL 60090-5036
(773) 720-4029
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.014815
IL
106H00000X
Marriage & Family Therapist
208000450
IL
Other
Enumeration date
01/03/2017
Last updated
12/27/2022
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