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General NPI Number Information
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NPI Number | 1477197481
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Entity Type | Individual
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Provider Name | AMY LORRAINE JOHNSON AMFT
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Gender | Female
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Dates
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Enumeration Date | 11/01/2019
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 8421 AUBURN BLVD STE 162-164
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City | CITRUS HEIGHTS
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State | CA
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Zip | 95610-0359
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Country | US
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Telephone | 916-472-4043
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Fax | 916-441-0286
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Provider Business Mailing Address
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Address Line | 3841 N FREEWAY BLVD STE 245
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City | SACRAMENTO
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State | CA
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Zip | 95834-1969
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Country | US
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Telephone | 916-472-4043
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Fax | 916-441-0286
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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 | 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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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 19632
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 147401
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License Number State | CA
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