Individual
ANGELA MARIE JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
555 FAIRVIEW DR # DRQ, ROCHELLE, IL 61068-2310
(815) 502-9003
Mailing address
1614 MANESS CT, SYCAMORE, IL 60178-2910
(815) 501-1707
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25871
IL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/19/2008
Last updated
04/19/2008
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