RENAE JOHNSON NPI 1710346689

NPI Information

NPI: 1710346689
Provider Name: RENAE JOHNSON
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
6392 LINDEN RD
ROCKFORD, IL
ZIP 61109
Phone: (779) 368-0060
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Renae Johnson is a mental health counselor in Rockford, IL. Renae Johnson NPI is 1710346689. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6392 LINDEN RD
ROCKFORD, IL
ZIP 61109-816
Phone: (779) 368-0060
Fax: (779) 368-0579

The enumeration date for this NPI number is 2/19/2016 and was last updated on 2/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	166001046	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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