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Search › Illinois › 101YM0800X

Benton Johnson, PHD, LCPC, LMHC, NCC

NPI 1326264060 · on the registry since 2007

Practice

Address
2424 40th Ave Apt 6
Moline, IL 61265
Phone
(309) 269-3100
Fax
(888) 243-3903
Organisation at this address
Ephphatha Consulting Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
101YM0800X
101YP2500X
222Q00000X
Licence states on file
IL, IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois