RENAE JOHNSON

ROCKFORD, IL
NPI1710346689
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  166001046)
Enumeration Date2016-02-19
Last Update Date2016-02-19
Business Address
-- RENAE JOHNSON
6392 LINDEN RD
ROCKFORD, IL 61109-2816
Phone number: 779-368-0060
Mailing Address
-- RENAE JOHNSON
6392 LINDEN RD
ROCKFORD, IL 61109-2816
Phone number: 779-368-0060
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