Individual
AGATHA MANKIEWICZ JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
18-6 E DUNDEE RD STE 140, BARRINGTON, IL 60010-7404
(847) 748-1100
Mailing address
18-6 E DUNDEE RD STE 140, BARRINGTON, IL 60010-7404
(847) 748-1100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178017815
IL
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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