Individual
JAMES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
695 N PERRYVILLE RD, ROCKFORD, IL 61107-6225
(779) 368-0060
Mailing address
695 N PERRYVILLE RD, ROCKFORD, IL 61107-6225
(779) 368-0060
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.013190
IL
Other
Enumeration date
10/04/2018
Last updated
05/16/2023
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