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1891045795
JACOB ALAN JOHNSON
GENEVA, IL
NPI
1891045795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IL 166.000941)
Enumeration Date
2012-09-18
Last Update Date
2023-03-04
Business Address
Dr. JACOB ALAN JOHNSON LMFT
2172 BLACKBERRY DR STE 205
GENEVA, IL 60134-1106
Phone number: 630-492-1388
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Mailing Address
Dr. JACOB ALAN JOHNSON LMFT
219 MCKINLEY AVE
GENEVA, IL 60134
Phone number: 773-892-2721
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