Johnson, Kirk

Johnson, Kirk is an individual health care provider with primary practice located at 3166 N Lincoln Ave Ste 310 , Chicago IL 60657-3119. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Johnson, Kirk can be contacted via phone (847) 508-5006.

Contact Information

Primary practice address
3166 N Lincoln Ave Ste 310 Chicago IL 60657-3119
Phone: (847) 508-5006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 1929625 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 1230641

Profile Details

NPI number 1437734282
LBN Legal business name Johnson, Kirk
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2021
Last updated Mar 12th, 2021 - about 3 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 1437734282 NPPES
Other 1230641 NBCC

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