Johnson, Christine

Johnson, Christine is an sole proprietor health care provider with primary practice located at 702 Bloomington Rd Ste 214 , Champaign IL 61820-2560. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Christine can be contacted via phone (217) 383-0157.

Contact Information

Primary practice address
702 Bloomington Rd Ste 214 Champaign IL 61820-2560
Phone: (217) 383-0157
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 180-002794 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180-002794 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-002794 Illinois

Profile Details

NPI number 1043434061
LBN Legal business name Johnson, Christine
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Apr 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043434061 NPPES
Illinois Other 180-002794 LCPC LICENSURE

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