Individual
AARON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5408 N LONG AVE, CHICAGO, IL 60630-1321
(810) 836-1061
Mailing address
5837 W PETERSON AVE APT 1, CHICAGO, IL 60646-3939
(810) 836-1061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.011799
IL
Other
Enumeration date
06/24/2022
Last updated
07/02/2022
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