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Individual

HEIDI JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
901 S 2ND ST STE 201, SPRINGFIELD, IL 62704-7909
(877) 358-2998
Mailing address
1101 W 40TH ST UNIT 2225, CHATTANOOGA, TN 37409-1379

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.014316
IL

Other

Enumeration date
06/11/2026
Last updated
06/11/2026
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