person
Tiaira M Johnson
Mental Health Clinic/Center (Including Community Mental Health Center) in Lansing, Illinois
NPI 1891571683

Tiaira M Johnson is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Lansing, IL and is specialized in Mental Health (Including Community Mental Health Center). Tiaira M Johnson practices in Lansing, IL. The NPI Number for Tiaira M Johnson is 1891571683 and holds a License No. (Illinois).

The current practice location address for Tiaira M Johnson is 18241 West St Ste 206, Lansing, IL and can be reached out via phone at 702-955-3818.

Location: 18241 West St Ste 206, Lansing, IL, 60438-3282
person
Provider Profile Details
NPI Number
1891571683
Provider Name
Tiaira M Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
18241 West St Ste 206, Lansing, IL, 60438-3282
Phone Number
702-955-3818
Fax Number
Provider Enumeration Date
09/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18241 West St Ste 206
City
State
Zip
60438-3282
Phone Number
702-955-3818
Fax Number
person
Provider Business Mailing Address Details
Address
18241 West St Ste 206
City
State
Zip
60438-3282
Phone Number
702-955-3818
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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