Jeannie Johnson, MS, LCPC, CADC

NPI #1861715963 in Newton, Illinois

Provider Information

NPI Number: 1861715963
Entity Type: Individual
Name: Jeannie Johnson, MS, LCPC, CADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MS, LCPC, CADC
Enumeration Date: Mar 4, 2010
Last Updated: Mar 4, 2010

Practice Location

Address: 106 EDWARDS ST
City: Newton
State: Illinois
ZIP Code: 62448-1736
Phone: (618) 783-4154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X	Primary

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