Individual provider · Type 1 NPI
Jill Johnson, CADC
Addiction (Substance Use Disorder) Counselor · La Grange Park, IL
NPI number
1962008763
Active
Practice location
333 N La Grange Rd
La Grange Park, IL 60526-5646
Mailing address
6554 N Campbell Ave # 2
Chicago, IL 60645-5330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1962008763
Jill Johnson, CADC's National Provider Identifier is 1962008763, issued on Dec 7, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in La Grange Park, IL. The record was last updated on Dec 7, 2020.