MISS Amy Johnson, B.A.

NPI #1528443769 in Vienna, Illinois

Provider Information

NPI Number: 1528443769
Entity Type: Individual
Name: MISS Amy Johnson, B.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: B.A.
Enumeration Date: Jul 29, 2015
Last Updated: Jul 29, 2015

Practice Location

Address: 408 E VINE ST
City: Vienna
State: Illinois
ZIP Code: 62995-1612
Phone: (618) 658-2611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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