Individual provider · Type 1 NPI

Gina Johnson, LCPC

Professional Counselor · Peoria, IL

NPI number 1437595253 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Call (309) 655-2738 Map

Mailing address

1926 Colt Dr
Washington, IL 61571-9241

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.007124 (IL)

Professional Counselor: Definition to come...

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About NPI 1437595253

Gina Johnson, LCPC's National Provider Identifier is 1437595253, issued on May 20, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, IL. The record was last updated on May 20, 2013.