Individual
AUDRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 N HIGHLAND AVE STE 202, AURORA, IL 60506-1460
(630) 394-1379
Mailing address
PO BOX 107, CORTLAND, IL 60112-0107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
149.025033
IL
Other
Enumeration date
11/02/2020
Last updated
05/01/2026
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