Individual
MR. BRANDON LAMAR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3154 W BELLE PLAINE AVE, APT 1N, CHICAGO, IL 60618-2427
(708) 724-4912
Mailing address
3154 W BELLE PLAINE AVE, APT 1N, CHICAGO, IL 60618-2427
(708) 724-4912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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