| Mr Keith Johnson, LCPC | |
|
444 N Pleasant Ave, Centralia, IL 62801-3006 | |
| (618) 436-8000 | |
| (618) 241-3848 |
| Full Name | Mr Keith Johnson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 444 N Pleasant Ave, Centralia, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932208030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Keith Johnson, LCPC Po Box 503861, Saint Louis, MO 63150-0001 Ph: (618) 436-8000 | Mr Keith Johnson, LCPC 444 N Pleasant Ave, Centralia, IL 62801-3006 Ph: (618) 436-8000 |
Travis Merrell Trone I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 628 Tracy Ter, Centralia, IL 62801 Phone: 618-533-2579 | |
Andrea Slater, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 M L King Dr, Centralia, IL 62801 Phone: 618-533-1391 | |
Mary Gates-gully, MS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 E. Martin Luther King Drive, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012 | |
Mrs. Lolita Isaiah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 E. Martin Luther King Drive, Centralia, IL 62801 Phone: 618-533-1391 | |
Sydney Cummins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 E Martin Luther Kind Drive, Centralia, IL 62801 Phone: 618-335-0973 | |
Steffany Slininger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 M L King Dr, Centralia, IL 62801 Phone: 618-533-1391 | |
Kelsey Dulle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 Martin Luther King Drive, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012 |