Jessica Reid Johnson
Professional Counselor
53 W Jackson Blvd Ste 804
Chicago
, Illinois 60604-3493
Jessica Reid Johnson
Professional Counselor
53 W Jackson Blvd Ste 804
Chicago
, Illinois 60604-3493
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Jessica Reid Johnson
- 1337 W Wolfram St
- Chicago, IL
- Zip : 60657-4114
- Phone :
Second Address
- Jessica Reid Johnson
- 53 W Jackson Blvd Ste 804
- Chicago, IL
- Zip : 60604-3493
- Fax : (773) 860-1001
- Phone : (773) 860-1001
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor |
National Provider Identifier
| NPI | 1003321613 |
|---|---|
| Provider Name | Jessica Reid Johnson |
| First Address | Chicago, IL 60657-4114 |
| Second Address | Chicago, IL 60604-3493 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2017 |
| Last Update Date | 05/12/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.