Individual ProviderSpring JohanssonCounselorBehavioral Health & Social Service ProvidersPractice Address100 Jefferson St, Oregon, IL 61061-1612(815) 732-3157(815) 721-0181PECOS EnrollmentBased on the most recent information from CMS, provider Spring Johansson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1164986493Provider TypeIndividualFull NameJohansson, SpringGenderFemaleSole ProprietorNoEnumeration Date1/31/2019Last Updated1/31/2019Contact InformationPractice LocationPractice Address100 Jefferson St, Oregon, IL 61061-1612Phone(815) 732-3157FaxUnlisted FaxMailing LocationMailing Address4923 Linden Rd Apt 538, Rockford, IL 61109-5653Phone(815) 721-0181FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer