Brad Johnson
Brad Johnson is a Professional Counselor in Moline, Illinois. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
4600 3rd StMoline, IL 61265-6106
Phone: (309) 779-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1306426390 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 13, 2021 |
| Last updated in NPPES | April 13, 2021 |
| Certification date | April 13, 2021 |
| Mailing address | 344 14th Ave, Moline, IL 61265-2924 |
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