IndividualActive
Keith Johnson, LCPC
NPI 1932208030 · Professional Counselor · Centralia, IL
Keith Johnson, LCPC is a Professional Counselor provider in Centralia, IL (NPI 1932208030).
Provider details
- NPI number
- 1932208030
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- No
Practice location
444 N Pleasant Ave
Centralia, IL 62801-3006
Phone: (618) 436-8000
Fax: (618) 241-3848
Street-level locationGet directions
Mailing address
Po Box 503861
Saint Louis, MO 63150-0001
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.