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Kai Johnson, LCPC
Professional Counselor in Rockford, Illinois
NPI 1205198942

Kai Johnson is a Professional Counselor based in Rockford, IL and is specialized in Professional. Kai Johnson practices in Rockford, IL and has the professional credentials of LCPC. The NPI Number for Kai Johnson is 1205198942 and holds a License No. 180.008222 (Illinois).

The current practice location address for Kai Johnson is 6641 Sawgrass Dr, Rockford, IL and can be reached out via phone at 779-423-4111.

Location: 6641 Sawgrass Dr, Rockford, IL, 61114-8005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205198942
Provider Name
Kai Johnson
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
6641 Sawgrass Dr, Rockford, IL, 61114-8005
Phone Number
779-423-4111
Fax Number
Provider Enumeration Date
06/08/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180008222 01 ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATIONS
institution
Provider Business Practice Location Address Details
Address
6641 Sawgrass Dr
City
Rockford
State
Illinois
Zip
61114-8005
Phone Number
779-423-4111
Fax Number
person
Provider Business Mailing Address Details
Address
6641 Sawgrass Dr
City
Rockford
State
Illinois
Zip
61114-8005
Phone Number
779-423-4111
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
180.008222 (Illinois)
Definition
Definition to come...
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