JMP Counseling and Tutoring Services, LLC

Organization Active NPI Clinical Social Worker · St. Joseph, IL

NPI 1265618615 · NPPES record last updated Mar 6, 2008

Key facts

NPI
1265618615
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
JMP COUNSELING AND TUTORING SERVICES, LLC
Practice address
109 N. Main St.
St. Joseph, IL 61873
Phone
(217) 469-9300
Fax
(217) 469-9301
NPI assigned
Jan 16, 2008
Organization subpart
No

Authorized official

Name
Gina K. Johnson, MSW, LCSW
Title
Licensed Clinical Social Worker
Phone
(309) 883-1439

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X IL
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X IL Yes

Addresses

Primary practice location

109 N. Main St.
St. Joseph, IL 61873

Mailing address

109 N. Main St.
St. Joseph, IL 61873
Phone (217) 469-9300

Other providers in St. Joseph, IL

All providers in St. Joseph, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.