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General NPI Number Information
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NPI Number | 1194899443
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Entity Type | Organization
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Legal Business Name | JUDY JOHNSON COUNSELING & CONSULTING, LLC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1368 N 19TH ST
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City | LARAMIE
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State | WY
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Zip | 82072-2313
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Country | US
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Telephone | 307-742-1270
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Fax | 307-742-1270
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Provider Business Mailing Address
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Address Line | 1368 N 19TH ST
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City | LARAMIE
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State | WY
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Zip | 82072-2313
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUDY JOHNSON
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Credential | L.P.C., L.A.T.
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Telephone | 307-742-1270
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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 | LPC 447
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LAT 237
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License Number State | WY
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