Carissa Johnson's National Provider Identifier (NPI) Details
Carissa Johnson, LCSW
NPI: 1588122253
Enumeration Date: 2019-03-12
Last updated: 2023-06-26
Sole Proprietor: YES
Status: active
Postal Address: 1047 CANNELL CT, ROCKTON, IL
Phone: 815-988-9137
Primary Practice Address: 2315 RUGER AVE, JANESVILLE, IL
Practice's phone: 608-371-4392