Stefanie Rosel Johnson, LCPC Valid NPI
Individual provider · Professional Counselor · O Fallon, IL
- NPI
- 1871821074
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 180.006694 (IL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2009-11-27
- Last updated
- 2009-11-27
Practice location
1214 Paragon Dr, Suite 1a
O Fallon, IL 62269-1757
(618) 975-5057