person
Sam Johnson, LCPC
Professional Counselor in Waukegan, Illinois
NPI 1528349636

Sam Johnson is a Professional Counselor based in Waukegan, IL and is specialized in Professional. Sam Johnson practices in Waukegan, IL and has the professional credentials of LCPC. The NPI Number for Sam Johnson is 1528349636 and holds a License No. 26412 (Illinois).

The current practice location address for Sam Johnson is 3002 Grand Ave, Waukegan, IL and can be reached out via phone at 847-377-8261.

Location: 3002 Grand Ave, Waukegan, IL, 60085-2321
person
Provider Profile Details
NPI Number
1528349636
Provider Name
Sam Johnson
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
3002 Grand Ave, Waukegan, IL, 60085-2321
Phone Number
847-377-8261
Fax Number
Provider Enumeration Date
09/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3002 Grand Ave
City
State
Zip
60085-2321
Phone Number
847-377-8261
Fax Number
person
Provider Business Mailing Address Details
Address
3002 Grand Ave
City
State
Zip
60085-2321
Phone Number
847-377-8261
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
180000986 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
26412 (Illinois)
Definition
Definition to come...
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