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General NPI Number Information
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NPI Number | 1063525673
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Entity Type | Individual
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Provider Name | KIER MICHELLE JOHNSON LCPC
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 08/19/2009
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Provider Practice Location Address
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Address Line | 10 WINTERS LN
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City | CATONSVILLE
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State | MD
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Zip | 21228-4454
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Country | US
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Telephone | 410-747-3360
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Fax | 410-747-3364
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Provider Business Mailing Address
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Address Line | 1665 WINFORD RD
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City | BALTIMORE
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State | MD
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Zip | 21239-3611
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Country | US
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Telephone | 410-323-8097
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | LC2447
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License Number State | MD
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