MR. Mark C Johnson
NPI #1740761881 in Westchester, Illinois
Provider Information
- NPI Number
- 1740761881
- Entity Type
- Individual
- Name
- MR. Mark C Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Aug 27, 2018
- Last Updated
- Aug 27, 2018
Practice Location
- Address
- 9845 W ROOSEVELT RD
- City
- Westchester
- State
- Illinois
- ZIP Code
- 60154-2758
- Phone
- (708) 681-2325
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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