Individual provider · Type 1 NPI

Sam Johnson, LCPC

Professional Counselor · Waukegan, IL

NPI number 1528349636 Active

Practice location

3002 Grand Ave
Waukegan, IL 60085-2321

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X26412 (IL)
Professional Counselor Primary 101YP2500X180000986 (IL)

Professional Counselor: Definition to come...

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About NPI 1528349636

Sam Johnson, LCPC's National Provider Identifier is 1528349636, issued on Sep 1, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Waukegan, IL. The record was last updated on Sep 1, 2011.