Christi Delaine Johnson, | |
1310 W Galena Blvd, Aurora, IL 60506-3649 | |
(630) 391-1094 | |
Not Available |
Full Name | Christi Delaine Johnson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1310 W Galena Blvd, Aurora, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720869506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178.016807 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180.016513 (Illinois) | Primary |
Entity Name | Mindful Mindset Wellness Center, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780291575 PECOS PAC ID: 4789037037 Enrollment ID: O20240202000767 |
Mailing Address | Practice Location Address |
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Christi Delaine Johnson, 1310 W Galena Blvd, Aurora, IL 60506-3649 Ph: (630) 391-1094 | Christi Delaine Johnson, 1310 W Galena Blvd, Aurora, IL 60506-3649 Ph: (630) 391-1094 |
Ms. Cheryl Banasiak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1230 N Highland Ave, Aurora, IL 60506 Phone: 630-966-4305 | |
Kiana Hickman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1630 Plum St, Aurora, IL 60506 Phone: 630-966-4475 | |
Dina Tate, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Mercy Ln, Aurora, IL 60506 Phone: 630-966-7400 | |
Ana Karen Ruiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1325 N Highland Ave, Aurora, IL 60506 Phone: 630-906-7015 Fax: 630-801-2626 | |
Lasdavahn Ashley Vongphakdy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1230 N Highland Ave, Aurora, IL 60506 Phone: 630-966-4331 | |
Rosa Garcia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 309 New Indian Trail Ct, Aurora, IL 60506 Phone: 630-966-4301 | |
Shenna Hill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1230 N Highland Ave, Aurora, IL 60506 Phone: 630-966-4000 |