Individual provider · Type 1 NPI

Spring Johansson

Mental Health Counselor · Oregon, IL

NPI number 1164986493 Active

Practice location

100 Jefferson St
Oregon, IL 61061-1612

Call (815) 732-3157 Map

Mailing address

4923 Linden Rd Apt 538
Rockford, IL 61109-5653

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1164986493

Spring Johansson's National Provider Identifier is 1164986493, issued on Jan 31, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oregon, IL. The record was last updated on Jan 31, 2019.