Individual
MR. ERIC T. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
710 N WEBB AVE, REEDSBURG, WI 53959-1149
(608) 524-5151
(608) 524-5353
Mailing address
2334 W LAWRENCE AVE, SUITE 204, CHICAGO, IL 60625-1948
(773) 456-9379
(443) 460-9379
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.011832
IL
1041C0700X
Clinical Social Worker
Primary
8441-123
WI
Other
Enumeration date
05/21/2010
Last updated
02/22/2016
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