Johnson, Lisa Marilyn

Johnson, Lisa Marilyn is an sole proprietor health care provider with primary practice located at 2025 Washington St , Waukegan IL 60085-5131. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Johnson, Lisa Marilyn can be contacted via phone (847) 360-1020.

Contact Information

Primary practice address
2025 Washington St Waukegan IL 60085-5131
Phone: (847) 360-1020
Fax: (847) 360-1065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.002356 Illinois

Profile Details

NPI number 1871881235
LBN Legal business name Johnson, Lisa Marilyn
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2011
Last updated Jul 19th, 2011 - about 13 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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