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Search › Illinois › 101YP2500X

Sam Johnson, LCPC

NPI 1528349636 · on the registry since 2011

Practice

Address
3002 Grand Ave
Waukegan, IL 60085
Phone
(847) 377-8261
Organisation at this address
County Of Lake
County Of Lake
Lake County Health Dept
Lake County Health Department
Lake County Health Department
Inferred from a shared address, not stated in the registry.
Clinicians at this address
193

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YA0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-09-01

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