KEITH JOHNSON

CENTRALIA, IL
NPI1932208030
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180001876)
Enumeration Date2006-09-22
Last Update Date2007-07-08
Business Address
Mr. KEITH JOHNSON LCPC
444 N PLEASANT AVE
CENTRALIA, IL 62801-3006
Phone number: 618-436-8000
Mailing Address
Mr. KEITH JOHNSON LCPC
PO BOX 503861
SAINT LOUIS, MO 63150-0001
Phone number: 618-436-8000
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