Brad Johnson

NPI #1306426390 in Moline, Illinois

Provider Information

NPI Number
1306426390
Entity Type
Individual
Name
Brad Johnson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Enumeration Date
Apr 13, 2021
Last Updated
Apr 13, 2021

Practice Location

Address
4600 3RD ST
City
Moline
ZIP Code
61265-6106
Phone
(309) 779-3000

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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