Pamela Johnson, MA, LCPC, DAPA

NPI 1487705893 · on the registry since 2007 · sole proprietor

Practice

Address: 5120 Main St
Downers Grove, IL 60515
Phone: (630) 969-7213
Fax: (630) 620-6194
Organisation at this address: Kickstand Counseling, Pllc
Affirm Behavioral Health, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

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