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General NPI Number Information
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NPI Number | 1306768908
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Entity Type | Individual
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Provider Name | CORINNE CLAIRE JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 6701 CURRAN BLVD
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City | NEW ORLEANS
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State | LA
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Zip | 70126-1719
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Country | US
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Telephone | 504-400-0614
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Fax |
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Provider Business Mailing Address
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Address Line | 2233 SAINT CHARLES AVE APT 609
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City | NEW ORLEANS
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State | LA
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Zip | 70130-6308
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Country | US
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Telephone | 402-507-7099
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | PLC11446
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License Number State | LA
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