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Individual

MRS. JILL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
333 N LA GRANGE RD, LA GRANGE PARK, IL 60526-5646
(773) 387-6746
Mailing address
6554 N CAMPBELL AVE # 2, CHICAGO, IL 60645-5330
(773) 387-6746

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
12/07/2020
Last updated
12/07/2020
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