Individual
BREANNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 ROYAL HEIGHTS RD, SWANSEA, IL 62226-5457
(618) 744-7266
Mailing address
900 ROYAL HEIGHTS RD, BELLEVILLE, IL 62226-5457
(618) 744-7266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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