Individual provider · Type 1 NPI

Johanna Hermina Willemse, BA, MHP

Mental Health Counselor · Champaign, IL

NPI number 1043406044 Active

Practice location

202 W Park Ave
Champaign, IL 61820-3929

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1043406044

Johanna Hermina Willemse, BA, MHP's National Provider Identifier is 1043406044, issued on Sep 24, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Champaign, IL. The record was last updated on Sep 24, 2007.