| Doctor Name: | CHRISTI JOHNSON |
| NPI Number: | 1003285370 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B.S., M.H.P. |
| License Number: | 362771343 |
| Business Practice Address: | 12 Health Services Dr Dekalb, IL - 601159637 |
| Business Phone Number: | 8157564875 |
| Business Fax Number: | 8157565849 |
| Mailing Address: | 12 Health Services Dr, DEKALB |
| State: | IL |
| Postal Code: | 601159637 |
| Phone Number: | 8157564875 |
| Fax Number: | 8157565849 |
| NPI Enumeration Date: | 09/17/2015 |
| NPI Last Update Date: | 09/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 362771343 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |