Individual
JOHANNA JAMESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
46W747 MAIN STREET RD, ELBURN, IL 60119-9618
(630) 306-0660
Mailing address
46W747 MAIN STREET RD, ELBURN, IL 60119-9618
(630) 306-0660
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180012051
IL
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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