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General NPI Number Information
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NPI Number | 1366810152
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Entity Type | Individual
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Provider Name | LAUREN K JOHNSON LPC
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Gender | Female
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Dates
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Enumeration Date | 09/10/2015
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 609 W JOHNSON AVE UNIT 310
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City | CHESHIRE
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State | CT
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Zip | 06410
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Country | US
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Telephone | 860-830-9858
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Fax |
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Provider Business Mailing Address
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Address Line | 609 W JOHNSON AVE UNIT 310
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City | CHESHIRE
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State | CT
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Zip | 06410-4505
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Country | US
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Telephone | 860-830-9858
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 003491
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License Number State | CT
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