Individual provider · Type 1 NPI

Tiaira M. Johnson

Mental Health Clinic/Center (Including Community Mental Health Center) · Lansing, IL

NPI number 1891571683 Active

Practice location

18241 West St Ste 206
Lansing, IL 60438-3282

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1891571683

Tiaira M. Johnson's National Provider Identifier is 1891571683, issued on Sep 6, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Lansing, IL. The record was last updated on Sep 6, 2023.