SAM JOHNSON LCPC
NPI 1528349636
Counselor - Professional in Waukegan, IL
Active since September 01, 2011
About Sam Johnson Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAM JOHNSON LCPC (NPI 1528349636) is an individual professional provider in Waukegan, Illinois, licensed in Illinois (180000986) and active in the NPI registry since September 2011.
NPPES Registry Identity
NPI1528349636
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSAM JOHNSONCredential: LCPC
Location Address3002 GRAND AVEWaukegan, IL 60085-2321
Mailing Address3002 Grand AveWaukegan, IL 60085-2321 · (847) 377-8261
Phone(847) 377-8261
Sole ProprietorNo
Enumeration DateSeptember 1, 2011
✔ NPI 1528349636 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180000986
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 26412 (IL)
3002 GRAND AVE, Waukegan, IL 60085
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Registered Nurse (Addiction (Substance Use Disorder))
3002 GRAND AVE
WAUKEGAN, IL 60085
WAUKEGAN, IL 60085
Counselor (Addiction (Substance Use Disorder))
3002 GRAND AVE
WAUKEGAN, IL 60085
WAUKEGAN, IL 60085
Registered Nurse (Addiction (Substance Use Disorder))
3002 GRAND AVE
WAUKEGAN, IL 60085
WAUKEGAN, IL 60085
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528349636, enumerated as an "individual" on September 01, 2011.
The provider is located at 3002 GRAND AVE WAUKEGAN, IL 60085 and the phone number is (847) 377-8261.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
