| Lyndsey Johnsen, Lcsw | |
|
901 E Grove St Ste O Bloomington IL 61701-8539 | |
| (815) 579-8350 | |
| Not Available |
| Full Name | Lyndsey Johnsen, Lcsw |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 901 E Grove St Ste O, Bloomington, Illinois |
| Authorized Official Name and Position | Lyndsey Johnsen (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8155798350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyndsey Johnsen, Lcsw Po Box 111 Bloomington IL 61702-0111 Ph: (815) 579-8350 | Lyndsey Johnsen, Lcsw 901 E Grove St Ste O Bloomington IL 61701-8539 Ph: (815) 579-8350 |
| NPI Number | 1841652443 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 04/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841652443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149016349 (Illinois) | Primary |
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