Individual
MR. STEPHEN CHARLES JOHNSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
3127 RENARD LN, SAINT CHARLES, IL 60175-4653
(630) 689-3079
Mailing address
3127 RENARD LN, SAINT CHARLES, IL 60175-4653
(630) 689-3079
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001093
IL
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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