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General NPI Number Information
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NPI Number | 1104779974
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Entity Type | Individual
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Provider Name | LAUREN R JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 115 ATWOOD ST
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City | SPARTA
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State | NC
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Zip | 28675-9299
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Country | US
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Telephone | 888-507-1025
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Fax | 888-507-3159
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Provider Business Mailing Address
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Address Line | 3008 BETHANY FORD RD
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City | ROARING RIVER
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State | NC
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Zip | 28669-8081
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Country | US
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Telephone | 336-467-0866
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A22620
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License Number State | NC
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