person
Mrs. Gina Johnson, LCPC
Professional Counselor in Peoria, Illinois
NPI 1437595253

Gina Johnson is a Professional Counselor based in Washington, IL and is specialized in Professional. Gina Johnson practices in Peoria, IL and has the professional credentials of LCPC. The NPI Number for Gina Johnson is 1437595253 and holds a License No. 180.007124 (Illinois).

The current practice location address for Gina Johnson is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-2738.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61571-9241
person
Provider Profile Details
NPI Number
1437595253
Provider Name
Gina Johnson
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 61571-9241
Phone Number
309-655-2738
Fax Number
Provider Enumeration Date
05/20/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
State
Zip
61637-0001
Phone Number
309-655-2738
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
State
Zip
61637-0001
Phone Number
309-655-2738
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.007124 (Illinois)
Definition
Definition to come...
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