MARK C JOHNSON

WESTCHESTER, IL
NPI1740761881
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-08-27
Last Update Date2018-08-27
Business Address
Mr. MARK C JOHNSON
9845 W ROOSEVELT RD
WESTCHESTER, IL 60154-2758
Phone number: 708-681-2325
Mailing Address
Mr. MARK C JOHNSON
8130 W 84TH ST APT 1W
JUSTICE, IL 60458-2222
Phone number: 708-603-6047
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