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General NPI Number Information
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NPI Number | 1205961455
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Entity Type | Individual
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Provider Name | CHRISTINA MARIE JOHNSON M.A.
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 16897 ALGONQUIN STREET #L
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-3835
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Country | US
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Telephone | 714-345-1236
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Fax | 866-357-8606
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Provider Business Mailing Address
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Address Line | 59 DAMONTE RANCH PKWY # B503
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City | RENO
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State | NV
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Zip | 89521-1907
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Country | US
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Telephone | 714-345-1236
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Fax | 866-357-8606
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 3305-R
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 43740
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License Number State | CA
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