Individual
ANTOINETTE NARTASHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 NEW INDIAN TRAIL CT, AURORA, IL 60506-2411
(630) 966-4000
Mailing address
309 NEW INDIAN TRAIL CT, AURORA, IL 60506-2411
(630) 966-4000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04008
—
IL
Enumeration date
12/04/2023
Last updated
12/04/2023
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