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Brianna Rae Johnson
Mental Health Counselor in Dekalb, Illinois
NPI 1952900375

Brianna Rae Johnson is a Mental Health Counselor based in Dekalb, IL and is specialized in Mental Health. Brianna Rae Johnson practices in Dekalb, IL. The NPI Number for Brianna Rae Johnson is 1952900375 and holds a License No. (Illinois).

The current practice location address for Brianna Rae Johnson is 12 Health Services Dr, Dekalb, IL and can be reached out via phone at 815-756-4875.

Location: 12 Health Services Dr, Dekalb, IL, 60115-7109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952900375
Provider Name
Brianna Rae Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
12 Health Services Dr, Dekalb, IL, 60115-7109
Phone Number
815-756-4875
Fax Number
Provider Enumeration Date
10/19/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
474579189001 05 IL
institution
Provider Business Practice Location Address Details
Address
12 Health Services Dr
City
Dekalb
State
Illinois
Zip
60115-9637
Phone Number
815-756-4875
Fax Number
person
Provider Business Mailing Address Details
Address
12 Health Services Dr
City
Dekalb
State
Illinois
Zip
60115-9637
Phone Number
815-756-4875
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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