Individual
CLARQUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 BOND ST STE 127, NAPERVILLE, IL 60563-2769
(630) 355-9002
Mailing address
2280 OAKRIDGE DR APT 4, AURORA, IL 60502-4577
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.015045
IL
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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