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General NPI Number Information
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NPI Number | 1508777160
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Entity Type | Organization
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Legal Business Name | BRENNAN JOHNSTON PSYCHOTHERAPY PLLC
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 219 55TH ST STE 108
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City | CLARENDON HILLS
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State | IL
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Zip | 60514-1597
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Country | US
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Telephone | 847-204-2037
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Fax |
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Provider Business Mailing Address
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Address Line | 276 E DEERPATH STE 428
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City | LAKE FOREST
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State | IL
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Zip | 60045-1940
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | BRENNAN JOHNSTON
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Credential | LCPC
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Telephone | 847-204-2037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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