JACK JOHNSON

CHICAGO, IL
NPI1033967765
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-05-08
Last Update Date2024-05-08
Business Address
JACK JOHNSON RSA
219 W CHICAGO AVE
CHICAGO, IL 60654-5600
Phone number: 872-777-8110
Mailing Address
JACK JOHNSON RSA
18555 WESTERN AVE
HOMEWOOD, IL 60430-3116
Phone number: