Individual
KELLI F JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
405 N WABASH AVE, SUITE 4003, CHICAGO, IL 60611-3591
(850) 980-2233
Mailing address
5312 N WINTHROP AVE, 4S, CHICAGO, IL 60640-2389
(850) 980-2233
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
071.007472
IL
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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