Individual
JASMINE JENAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
207 E 169TH PL, SOUTH HOLLAND, IL 60473-2953
(708) 552-0334
Mailing address
207 E 169TH PL, SOUTH HOLLAND, IL 60473-2953
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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