Most Relevant Information
Provider Data
NPI Number: | 1003285370 |
Provider Name: | CHRISTI JOHNSON B.S., M.H.P. |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | 362771343 |
Most Important Dates
Enumeration Date: | 09/17/2015 |
Last Updated: | 09/17/2015 |
Provider Practice Location
12 HEALTH SERVICES DR
DEKALB
IL
601159637
Practice Location Phone/Fax
Phone: | 8157564875 |
Fax: | 8157565849 |
Provider Mailing Location
12 HEALTH SERVICES DR
DEKALB
IL
601159637
Provider Mailing Phone/Fax
Phone: | 8157564875 |
Fax: | 8157565849 |