| Corrine Johnson Lcsw | |
|
708 Church St Suite 233 Evanston IL 60201-3875 | |
| (847) 868-6884 | |
| Not Available |
| Full Name | Corrine Johnson Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 708 Church St, Evanston, Illinois |
| Authorized Official Name and Position | Corrine Johnson (THERAPIST) |
| Authorized Official Contact | 8478686884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corrine Johnson Lcsw 708 Church St Suite 233 Evanston IL 60201-3875 Ph: (847) 868-6884 | Corrine Johnson Lcsw 708 Church St Suite 233 Evanston IL 60201-3875 Ph: (847) 868-6884 |
| NPI Number | 1194156547 |
|---|---|
| Provider Enumeration Date | 12/11/2013 |
| Last Update Date | 04/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194156547 | NPI | - | NPPES |
| 1952642449 | Other | IL | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149016230 (Illinois) | Primary |
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