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
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.012621 (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.