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Stefanie Johnson, LCPC

NPI 1871821074 · on the registry since 2009 · sole proprietor

Practice

Address
1214 Paragon Dr
Suite 1a
O Fallon, IL 62269
Phone
(618) 975-5057
Clinicians at this address
2

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
2009-11-27

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