AUDRA JOHNSON

AURORA, IL
NPI1124629696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.025033)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2020-11-02
Last Update Date2026-05-01
Business Address
AUDRA JOHNSON
1315 N HIGHLAND AVE STE 202
AURORA, IL 60506-1460
Phone number: 630-394-1379
Mailing Address
AUDRA JOHNSON
PO BOX 107
CORTLAND, IL 60112-0107
Phone number: