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Sheila Blossom Johnson, LCPC
Professional Counselor in South Elgin, Illinois
NPI 1427174994

Sheila Blossom Johnson is a Professional Counselor based in Pingree Grove, IL and is specialized in Professional. Sheila Blossom Johnson practices in South Elgin, IL and has the professional credentials of LCPC. The NPI Number for Sheila Blossom Johnson is 1427174994 and holds a License No. 180-003949 (Illinois).

The current practice location address for Sheila Blossom Johnson is 1497 N La Fox St, South Elgin, IL and can be reached out via phone at 847-903-1156 and via fax at 847-697-4717.

Location: 1497 N La Fox St, South Elgin, IL, 60140-5411
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Provider Profile Details
NPI Number
1427174994
Provider Name
Sheila Blossom Johnson
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
1497 N La Fox St, South Elgin, IL, 60140-5411
Phone Number
847-903-1156
Fax Number
847-697-4717
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180-003949 01 IL STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1497 N La Fox St
City
State
Zip
60177-1227
Phone Number
847-903-1156
Fax Number
847-697-4717
person
Provider Business Mailing Address Details
Address
1497 N La Fox St
City
State
Zip
60177-1227
Phone Number
847-903-1156
Fax Number
847-697-4717
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180-003949 (Illinois)
Definition
Definition to come...
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