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General NPI Number Information
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NPI Number | 1346603800
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Entity Type | Organization
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Legal Business Name | DARLENE GARCIA-JOHNSON LLC
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 04/22/2016
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Provider Practice Location Address
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Address Line | 28 N 2ND ST
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City | LEWISBURG
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State | PA
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Zip | 17837-1567
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Country | US
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Telephone | 570-230-7629
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Fax | 570-522-9308
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Provider Business Mailing Address
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Address Line | 28 N 2ND ST
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City | LEWISBURG
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State | PA
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Zip | 17837-1567
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Country | US
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Telephone | 570-230-7629
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Fax | 570-522-9308
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | DARLENE ESTER GARCIA-JOHNSON
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Credential | LPC
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Telephone | 570-230-7629
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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 | PC008476
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License Number State | PA
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