person
Mr. Kenneth Robert Johnson, LCPC
Professional Counselor in Chicago, Illinois
NPI 1649531542

Kenneth Robert Johnson is a Professional Counselor based in Chicago, IL and is specialized in Professional. Kenneth Robert Johnson practices in Chicago, IL and has the professional credentials of LCPC. The NPI Number for Kenneth Robert Johnson is 1649531542 and holds a License No. 180.010434 (Illinois).

The current practice location address for Kenneth Robert Johnson is 5710 N Broadway St, Chicago, IL and can be reached out via phone at 872-235-0626.

Location: 5710 N Broadway St, Chicago, IL, 60660-4302
person
Provider Profile Details
NPI Number
1649531542
Provider Name
Kenneth Robert Johnson
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
5710 N Broadway St, Chicago, IL, 60660-4302
Phone Number
872-235-0626
Fax Number
Provider Enumeration Date
06/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5710 N Broadway St
City
State
Zip
60660-4302
Phone Number
872-235-0626
Fax Number
person
Provider Business Mailing Address Details
Address
5710 N Broadway St
City
State
Zip
60660-4302
Phone Number
872-235-0626
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.010434 (Illinois)
Definition
Definition to come...
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