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General NPI Number Information
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NPI Number | 1467577031
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Entity Type | Individual
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Provider Name | SHARLENE NMN JOHNSON LPC, LBSW, LCDC
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 18333 EGRET BAY BLVD SUITE 540
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City | HOUSTON
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State | TX
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Zip | 77058-3860
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Country | US
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Telephone | 832-864-6000
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Fax | 832-864-6001
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Provider Business Mailing Address
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Address Line | 900 HENDERSON AVE #1017
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City | HOUSTON
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State | TX
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Zip | 77058-3801
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Country | US
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Telephone | 832-864-6000
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Fax | 832-864-6001
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 6583
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 15054
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 26576
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License Number State | TX
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