Michael T Johnson, LPC

NPI #1255057113 in Lake Bluff, Illinois

Provider Information

NPI Number: 1255057113
Entity Type: Individual
Name: Michael T Johnson, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Oct 12, 2022
Last Updated: Oct 12, 2022

Practice Location

Address: 100 N WAUKEGAN RD STE 204
City: Lake Bluff
State: Illinois
ZIP Code: 60044-1660
Phone: (847) 821-9346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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