Johnson, Jacob Alan

Johnson, Jacob Alan is an sole proprietor health care provider with primary practice located at 2172 Blackberry Dr Ste 205 , Geneva IL 60134-1106. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Johnson, Jacob Alan can be contacted via phone (630) 492-1388.

Contact Information

Primary practice address
2172 Blackberry Dr Ste 205 Geneva IL 60134-1106
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166.000941 Illinois

Profile Details

NPI number 1891045795
LBN Legal business name Johnson, Jacob Alan
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2012
Last updated Mar 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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