Jeremy Johnson

Counselor · Carterville, IL

Individual Active NPI

NPI number 1285381350

Practice location

403 Municipal Dr
Carterville, IL 62918-2042
Phone
(855) 608-3560
Fax
(618) 956-9349

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NPI record

NPI
1285381350
Entity type
Individual (Type 1)
Enumeration date
March 8, 2022
Last updated
March 8, 2022
Certified
March 8, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

Mailing address

902 W Main St
West Frankfort, IL 62896-2210
Phone
(618) 937-6483
Fax
(618) 937-1440

About Jeremy Johnson

Jeremy Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 403 Municipal Dr, Carterville, IL 62918-2042. The NPI number 1285381350 was assigned on March 8, 2022 and the record was last updated on March 8, 2022.

Frequently asked questions

What is the NPI number of Jeremy Johnson?

The NPI number is 1285381350.

What is the phone number of Jeremy Johnson?

The phone number listed for the practice location is (855) 608-3560.

Where is Jeremy Johnson located?

403 Municipal Dr, Carterville, IL 62918-2042.

What is the taxonomy code for Jeremy Johnson?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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