Individual provider · Type 1 NPI
Derrick James Johnson, PSY.D
Professional Counselor · Oak Park, IL
NPI number
1497896674
Active
Practice location
1022 Madison
Oak Park, IL 60302
Fax (708) 386-8602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180004135 (IL) |
| Clinical Psychologist | 103TC0700X | 180004135 (IL) |
Professional Counselor: Definition to come...
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About NPI 1497896674
Derrick James Johnson, PSY.D's National Provider Identifier is 1497896674, issued on Feb 9, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oak Park, IL. The record was last updated on Nov 22, 2016.