Organization
BLUEPRINT
Active
Other names
JMP Counseling & Tutoring Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA K JOHNSON LCSW (OWNER/THERAPIST)
(217) 469-9300
Entity
Organization
Contact information
Practice address
2704 BOULDER DRIVE, SUITE B, URBANA, IL 61802
(217) 469-9300
(217) 469-9301
Mailing address
2704 BOULDER DRIVE, SUITE B, URBANA, IL 61802
(217) 469-9300
(217) 469-9301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.006836
IL
1041C0700X
Clinical Social Worker
149.009378
IL
Other
Enumeration date
01/07/2011
Last updated
02/27/2013
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