Search › Illinois › 104100000X
Carolyn Johnson, LSW
NPI 1982890562 · on the registry since 2007 · sole proprietor
Practice
- Address
- 202 W Park Ave
Champaign, IL 61820 - Phone
- (217) 373-2428
- Organisation at this address
- Community Elements
Mental Health CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 93
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-19
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