Individual
MRS. MICHELLE JENNIFER JOHANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5547 N RAVENSWOOD AVE, CHICAGO, IL 60640-1125
(773) 769-4313
Mailing address
5547 N RAVENSWOOD AVE, CHICAGO, IL 60640-1125
(773) 769-4313
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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