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Dr. Benton Kurt Johnson II, PHD,LCPC,LMHC,NCC
Mental Health Counselor in Moline, Illinois
NPI 1326264060

Benton Kurt Johnson II is a Mental Health Counselor based in Moline, IL and is specialized in Mental Health. Benton Kurt Johnson II practices in Moline, IL and has the professional credentials of PHD,LCPC,LMHC,NCC. The NPI Number for Benton Kurt Johnson II is 1326264060 and holds a License No. 180006524 (Illinois).

The current practice location address for Benton Kurt Johnson II is 2424 40Th Ave Apt 6, Moline, IL and can be reached out via phone at 309-269-3100 and via fax at 888-243-3903. You can also correspond with Benton Kurt Johnson II through the mailing address at 2424 40TH AVE, MOLINE, IL - 61265-7215 (mailing address contact number: 309-269-3100).

Location: 2424 40Th Ave Apt 6, Moline, IL, 61265-7215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326264060
Provider Name
Benton Kurt Johnson II
Credential
PHD,LCPC,LMHC,NCC
Provider Entity Type
Individual
Gender
Male
Address
2424 40Th Ave Apt 6, Moline, IL, 61265-7215
Phone Number
309-269-3100
Fax Number
888-243-3903
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
208164344 01 IL EI PROVIDER #
institution
Provider Business Practice Location Address Details
Address
2424 40Th Ave Apt 6
City
Moline
State
Illinois
Zip
61265-7215
Phone Number
309-269-3100
Fax Number
888-243-3903
person
Provider Business Mailing Address Details
Address
2424 40Th Ave Apt 6
City
Moline
State
Illinois
Zip
61265-7215
Phone Number
309-269-3100
Fax Number
888-243-3903
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
180006524 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
001063 (Iowa)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Developmental Therapist
Speciality
-
Taxonomy
222Q00000X
License No.
180006524 (Illinois)
Definition
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
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