Individual
RICHARD DAVID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1315 LEHMEN DR, CHESTER MENTAL HEALTH CENTER, CHESTER, IL 62233-2542
(618) 826-4571
(618) 826-3229
Mailing address
1315 LEHMEN DR, PO BOX 31 CHESTER MENTAL HEALTH CENTER, CHESTER, IL 62233-2542
(618) 826-4571
(618) 826-3229
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Enumeration date
07/12/2006
Last updated
07/09/2007
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