Johnson, Sam

Johnson, Sam is an individual health care provider with primary practice located at 3002 Grand Ave , Waukegan IL 60085-2321. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Johnson, Sam can be contacted via phone (847) 377-8261.

Contact Information

Primary practice address
3002 Grand Ave Waukegan IL 60085-2321
Phone: (847) 377-8261
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 26412 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180000986 Illinois

Profile Details

NPI number 1528349636
LBN Legal business name Johnson, Sam
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2011
Last updated Sep 1st, 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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