Elizabeth Anne Johansson, LPC | |
125 Fairfield Way Ste 380, Bloomingdale, IL 60108-3701 | |
(815) 295-5470 | |
Not Available |
Full Name | Elizabeth Anne Johansson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 125 Fairfield Way Ste 380, Bloomingdale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164143806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Rockford Psychiatric Medical Services Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821391442 PECOS PAC ID: 6901089515 Enrollment ID: O20110318000777 |
Mailing Address | Practice Location Address |
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Elizabeth Anne Johansson, LPC 125 Fairfield Way Ste 380, Bloomingdale, IL 60108-3701 Ph: (815) 295-5470 | Elizabeth Anne Johansson, LPC 125 Fairfield Way Ste 380, Bloomingdale, IL 60108-3701 Ph: (815) 295-5470 |
Ms. Erin Redfern, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Fairfield Way Ste 380, Bloomingdale, IL 60108 Phone: 815-295-5470 | |
Jamie Lynn Marie Meskin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Fairfield Way Ste 380, Bloomingdale, IL 60108 Phone: 815-295-5470 | |
Erin J Austin, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5n443 Santa Fe Trl, Bloomingdale, IL 60108 Phone: 630-465-3374 | |
James Visinaiz Jr., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Fairfield Way Ste 240, Bloomingdale, IL 60108 Phone: 630-309-2989 Fax: 630-790-3804 | |
Mark T Kenny, MS LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 East Army Trail Rd, Suite#300d, Bloomingdale, IL 60108 Phone: 630-530-2220 Fax: 866-728-5493 | |
Dylan Tedvon Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 E Lake St Ste And106, Bloomingdale, IL 60108 Phone: 815-295-5470 | |
Toni Gary, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 N Rosedale Ave Ste 100, Bloomingdale, IL 60108 Phone: 630-893-6685 |