Individual
JEANNIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC, CADC
Contact information
Practice address
106 EDWARDS ST, NEWTON, IL 62448-1736
(618) 783-4154
(618) 783-2339
Mailing address
106 EDWARDS ST, NEWTON, IL 62448-1736
(618) 783-4154
(618) 783-2339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22063
IL
101YP2500X
Professional Counselor
Primary
180-006606
IL
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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