CARISSA JOHNSEN

NEWTON, IL
NPI1508206491
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-06-25
Last Update Date2013-06-25
Business Address
-- CARISSA JOHNSEN B.A.
106 EDWARDS ST
NEWTON, IL 62448-1736
Phone number: 618-783-4154
Mailing Address
-- CARISSA JOHNSEN B.A.
106 EDWARDS ST
NEWTON, IL 62448-1736
Phone number: 618-783-4154