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General NPI Number Information
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NPI Number | 1225882756
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Entity Type | Organization
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Legal Business Name | JOHNSON'S COUNSELING SERVICES
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Dates
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Enumeration Date | 04/12/2024
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 245 PHENIX AVE
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City | CRANSTON
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State | RI
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Zip | 02920-4061
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Country | US
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Telephone | 401-516-2097
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Fax |
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Provider Business Mailing Address
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Address Line | 84 PROSPECT ST
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City | PAWTUCKET
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State | RI
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Zip | 02860-4399
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Country | US
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Telephone | 401-516-2097
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE CONSULTANT
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Name | LAURA DAGENAIS
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Credential |
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Telephone | 774-257-3196
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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 |
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License Number State |
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