| Johanna Hager Lcpc | |
|
698 Oakwood Pl Geneseo IL 61254-1916 | |
| (309) 945-5739 | |
| Not Available |
| Full Name | Johanna Hager Lcpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 698 Oakwood Pl, Geneseo, Illinois |
| Authorized Official Name and Position | Johanna Hager (MEMBER) |
| Authorized Official Contact | 3099455739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johanna Hager Lcpc 698 Oakwood Pl Geneseo IL 61254-1916 Ph: (309) 945-5739 | Johanna Hager Lcpc 698 Oakwood Pl Geneseo IL 61254-1916 Ph: (309) 945-5739 |
| NPI Number | 1366230609 |
|---|---|
| Provider Enumeration Date | 04/28/2025 |
| Last Update Date | 04/28/2025 |
| Certification Date | 04/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366230609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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