Organization
INTEGRATED PSYCHOTHERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J JOHNS PSYD (OWNER/CEO)
(773) 502-8252
Entity
Organization
Contact information
Practice address
350 S NORTHWEST HWY STE 300, PARK RIDGE, IL 60068-4262
(773) 502-8252
Mailing address
350 S NORTHWEST HWY STE 300, PARK RIDGE, IL 60068-4262
(773) 502-8252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/31/2013
Last updated
08/01/2024
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