Individual
JOHANNA HAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
698 OAKWOOD PL, GENESEO, IL 61254-1916
(309) 945-5739
Mailing address
698 OAKWOOD PL, GENESEO, IL 61254-1916
(309) 945-5739
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-003850
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03732026
BCBS OF ILLINOIS
IL
Enumeration date
08/01/2006
Last updated
04/28/2025
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