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Miranda Lou Johnon
Counselor in Rockford, Illinois
NPI 1972085249

Miranda Lou Johnon is a Counselor based in Rockford, IL. Miranda Lou Johnon practices in Rockford, IL. The NPI Number for Miranda Lou Johnon is 1972085249 and holds a License No. (Illinois).

The current practice location address for Miranda Lou Johnon is 2704 N Main St, Rockford, IL and can be reached out via phone at 815-968-9300.

Location: 2704 N Main St, Rockford, IL, 61107-3877
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972085249
Provider Name
Miranda Lou Johnon
Credential
Provider Entity Type
Individual
Gender
Female
Address
2704 N Main St, Rockford, IL, 61107-3877
Phone Number
815-968-9300
Fax Number
Provider Enumeration Date
09/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2704 N Main St
City
Rockford
State
Illinois
Zip
61103-3112
Phone Number
815-968-9300
Fax Number
person
Provider Business Mailing Address Details
Address
2704 N Main St
City
Rockford
State
Illinois
Zip
61103-3112
Phone Number
815-968-9300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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