Individual provider · Type 1 NPI

Miranda Lou Johnon

Counselor · Rockford, IL

NPI number 1972085249 Active

Practice location

2704 N Main St
Rockford, IL 61103-3112

Mailing address

1021 N Mulford Rd
Rockford, IL 61107-3877

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1972085249

Miranda Lou Johnon's National Provider Identifier is 1972085249, issued on Sep 4, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Rockford, IL. The record was last updated on Sep 4, 2018.