Individual
RIELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1 E ERIE ST STE 525-2216, CHICAGO, IL 60611-2740
(312) 625-9051
Mailing address
1 E ERIE ST STE 525-2216, CHICAGO, IL 60611-2740
(312) 625-9051
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071010076
IL
103TC0700X
Clinical Psychologist
6301016228
MI
Other
Enumeration date
09/18/2014
Last updated
08/06/2022
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