MR. KEITH JOHNSON LCPC
NPI 1932208030
Counselor - Professional in Centralia, IL
- Individual
- Male
- Counselor
- Professional
About KEITH JOHNSON
This page provides the complete NPI Profile along with additional information for Keith Johnson, a provider established in Centralia, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1932208030 assigned on September 2006. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1932208030 Verify this NPI
- Provider Name
- MR. KEITH JOHNSON LCPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 444 N PLEASANT AVE CENTRALIA, IL 62801
- Location Phone
- (618) 436-8000
- Location Fax
- (618) 241-3848
- Mailing Address
- PO BOX 503861 SAINT LOUIS, MO 63150
- Mailing Phone
- (618) 436-8000
- Mailing Fax
- (618) 241-3848
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-22-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License State
- IL
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
CENTRALIA, IL 62801
CENTRALIA, IL 62801
CENTRALIA, IL 62801
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932208030, enumerated as an "individual" on September 22, 2006.
The provider is located at 444 N PLEASANT AVE CENTRALIA, IL 62801 and the phone number is (618) 436-8000.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
