SearchIllinois101YP2500X

Domini Johnson, M.S., LCPC, NCC,CDVP

NPI 1659609121 · on the registry since 2009 · sole proprietor

Practice

Address
16417 Evans Ave
South Holland, IL 60473
Phone
(708) 362-3916

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
2012-04-11

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