Individual
JOELY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
117 FLINN ST, BATAVIA, IL 60510-2471
(202) 996-0391
Mailing address
1036 HOMESTEAD DR, YORKVILLE, IL 60560-1858
(630) 334-4737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
01/10/2022
Last updated
01/10/2022
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