person
Ms. Johanna Hermina Willemse, BA,MHP
Mental Health Counselor in Champaign, Illinois
NPI 1043406044

Johanna Hermina Willemse is a Mental Health Counselor based in Champaign, IL and is specialized in Mental Health. Johanna Hermina Willemse practices in Champaign, IL and has the professional credentials of BA,MHP. The NPI Number for Johanna Hermina Willemse is 1043406044 and holds a License No. (Illinois).

The current practice location address for Johanna Hermina Willemse is 202 W Park Ave, Champaign, IL and can be reached out via phone at 217-373-2436. You can also correspond with Johanna Hermina Willemse through the mailing address at 202 W PARK AVE, CHAMPAIGN, IL - 61820-3929 (mailing address contact number: 217-373-2436).

Location: 202 W Park Ave, Champaign, IL, 61820-3929
person
Provider Profile Details
NPI Number
1043406044
Provider Name
Johanna Hermina Willemse
Credential
BA,MHP
Provider Entity Type
Individual
Gender
Female
Address
202 W Park Ave, Champaign, IL, 61820-3929
Phone Number
217-373-2436
Fax Number
Provider Enumeration Date
09/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
202 W Park Ave
City
State
Zip
61820-3929
Phone Number
217-373-2436
Fax Number
person
Provider Business Mailing Address Details
Address
202 W Park Ave
City
State
Zip
61820-3929
Phone Number
217-373-2436
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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