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General NPI Number Information
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NPI Number | 1053864157
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Entity Type | Organization
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Legal Business Name | JULIE A. JOHNSON, LPCC, LLC
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Dates
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Enumeration Date | 07/26/2016
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Last Update Date | 07/26/2016
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Provider Practice Location Address
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Address Line | 623 PARK MEADOW RD STE G
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City | WESTERVILLE
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State | OH
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Zip | 43081-2876
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Country | US
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Telephone | 614-302-3435
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Fax |
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Provider Business Mailing Address
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Address Line | 623 PARK MEADOW RD STE G
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City | WESTERVILLE
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State | OH
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Zip | 43081-2876
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Country | US
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Telephone | 614-302-3435
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Fax |
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Authorized Official
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Title or Position | CLINICAL THERAPIST/OWNER
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Name | JULIE A JOHNSON
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Credential | LPCC
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Telephone | 614-302-3435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E-1100259
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License Number State | OH
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