Individual provider · Type 1 NPI

Jasmine Kayla Johnson, LPC

Professional Counselor · Chicago, IL

NPI number 1114552486 Active

Practice location

11740 S Western Ave
Chicago, IL 60643-4732

Mailing address

6153 S Major Ave Apt 2
Chicago, IL 60638-4511

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.012621 (IL)

Professional Counselor: Definition to come...

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About NPI 1114552486

Jasmine Kayla Johnson, LPC's National Provider Identifier is 1114552486, issued on Mar 7, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Mar 7, 2020.