Search › Illinois › 1041C0700X
Stephanie Johansson, LCSW
NPI 1740937754 · on the registry since 2022
Practice
- Address
- 318 W Washington St Ste 1a
Bloomington, IL 61701 - Phone
- (217) 369-2455
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois