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Individual

ANITA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
210 AVENUE C, DANVILLE, IL 61832-5410
(217) 442-3200
(217) 442-7460
Mailing address
210 AVENUE C, DANVILLE, IL 61832-5410
(217) 442-3200
(217) 442-7460

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180010183
IL

Other

Enumeration date
06/22/2016
Last updated
06/22/2016
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