Organization
CORRINE JOHNSON LCSW LLC
Active
Other names
Corrine Johnson LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORRINE JOHNSON LCSW (THERAPIST)
(847) 868-6884
Entity
Organization
Contact information
Practice address
708 CHURCH ST, SUITE 233, EVANSTON, IL 60201-3875
(847) 868-6884
Mailing address
708 CHURCH ST, SUITE 233, EVANSTON, IL 60201-3875
(847) 868-6884
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149016230
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952642449
NPI INDIVIDUAL
IL
Enumeration date
12/11/2013
Last updated
04/28/2015
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