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General NPI Number Information
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NPI Number | 1144006578
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Entity Type | Organization
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Legal Business Name | BRIANNA JOHNSTON COUNSELING
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Dates
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Enumeration Date | 09/01/2023
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 100 SAW MILL RD STE 3200
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City | LAFAYETTE
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State | IN
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Zip | 47905-5597
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Country | US
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Telephone | 765-250-6246
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Fax | 765-374-0865
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Provider Business Mailing Address
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Address Line | 114 EXECUTIVE DR STE G
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City | LAFAYETTE
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State | IN
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Zip | 47905-4875
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Country | US
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Telephone | 765-250-6246
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIANNA L JOHNSTON
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Credential | LMFT
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Telephone | 765-250-6246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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