Individual provider · Type 1 NPI

Mark C. Johnson

Addiction (Substance Use Disorder) Counselor · Westchester, IL

NPI number 1740761881 Active

Practice location

9845 W Roosevelt Rd
Westchester, IL 60154-2758

Call (708) 681-2325 Map

Mailing address

8130 W 84th St Apt 1W
Justice, IL 60458-2222

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1740761881

Mark C. Johnson's National Provider Identifier is 1740761881, issued on Aug 27, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Westchester, IL. The record was last updated on Aug 27, 2018.