| Doctor Name: | MRS. DONNA MARIE CASSELLA-JOHNSON |
| NPI Number: | 1689938672 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 178006231 |
| Business Practice Address: | 634 Oakwood St Minooka, IL - 604471229 |
| Business Phone Number: | 8154675520 |
| Business Fax Number: | 8153530334 |
| Mailing Address: | 634 Oakwood St, MINOOKA |
| State: | IL |
| Postal Code: | 604471229 |
| Phone Number: | 8154675520 |
| Fax Number: | 8153530334 |
| NPI Enumeration Date: | 06/25/2012 |
| NPI Last Update Date: | 03/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 178006231 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |