Individual provider · Type 1 NPI

Jack Johnson, RSA

Mental Health Counselor · Chicago, IL

NPI number 1033967765 Active

Practice location

219 W Chicago Ave
Chicago, IL 60654-5600

Mailing address

18555 Western Ave
Homewood, IL 60430-3116

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1033967765

Jack Johnson, RSA's National Provider Identifier is 1033967765, issued on May 8, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on May 8, 2024.