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Mr. Brian Aubrey Johnson
Professional Counselor in University Park, Illinois
NPI 1811582117

Brian Aubrey Johnson is a Professional Counselor based in University Park, IL and is specialized in Professional. Brian Aubrey Johnson practices in University Park, IL. The NPI Number for Brian Aubrey Johnson is 1811582117 and holds a License No. 180.004542 (Illinois).

The current practice location address for Brian Aubrey Johnson is 1213 Blackhawk Dr, University Park, IL and can be reached out via phone at 708-200-0034.

Location: 1213 Blackhawk Dr, University Park, IL, 60484-3321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811582117
Provider Name
Brian Aubrey Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1213 Blackhawk Dr, University Park, IL, 60484-3321
Phone Number
708-200-0034
Fax Number
Provider Enumeration Date
03/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1213 Blackhawk Dr
City
University Park
State
Illinois
Zip
60484-3321
Phone Number
708-200-0034
Fax Number
person
Provider Business Mailing Address Details
Address
1213 Blackhawk Dr
City
University Park
State
Illinois
Zip
60484-3321
Phone Number
708-200-0034
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
180.004542 (Illinois)
Definition
Definition to come...
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