Individual
COURTNEY JEAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
155 N MICHIGAN AVE STE 380, CHICAGO, IL 60601-7710
(773) 340-2616
Mailing address
5029 N KENMORE AVE APT 103, CHICAGO, IL 60640-3685
(630) 470-4658
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.022832
IL
Other
Enumeration date
11/08/2017
Last updated
12/29/2020
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