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Individual

JESECA ARLEASE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
611 W JEFFERSON ST STE 201, SHOREWOOD, IL 60404-3772
(630) 281-2496
(630) 839-9138
Mailing address
19030 WILLOW AVE, COUNTRY CLUB HILLS, IL 60478-5741
(708) 310-1174

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/11/2025
Last updated
06/11/2025
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