person
Mrs. Domini Marie Johnson, MS,LCPC,NCC,CDVP
Professional Counselor in South Holland, Illinois
NPI 1659609121

Domini Marie Johnson is a Professional Counselor based in South Holland, IL and is specialized in Professional. Domini Marie Johnson practices in South Holland, IL and has the professional credentials of MS,LCPC,NCC,CDVP. The NPI Number for Domini Marie Johnson is 1659609121 and holds a License No. 180004580 (Illinois).

The current practice location address for Domini Marie Johnson is 16417 Evans Ave, South Holland, IL and can be reached out via phone at 708-362-3916.

Location: 16417 Evans Ave, South Holland, IL, 60473
person
Provider Profile Details
NPI Number
1659609121
Provider Name
Domini Marie Johnson
Credential
MS,LCPC,NCC,CDVP
Provider Entity Type
Individual
Gender
Female
Address
16417 Evans Ave, South Holland, IL, 60473
Phone Number
708-362-3916
Fax Number
Provider Enumeration Date
11/22/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16417 Evans Ave
City
State
Zip
60473-2350
Phone Number
708-362-3916
Fax Number
person
Provider Business Mailing Address Details
Address
16417 Evans Ave
City
State
Zip
60473-2350
Phone Number
708-362-3916
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180004580 (Illinois)
Definition
Definition to come...
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