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NPI 1508644725

NPI 1508644725 : HEATHER LYNN MCGEE JOHNSTON LPC, NCC : DECATUR, IL

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General NPI Number Information
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    NPI Number           |    1508644725
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    Entity Type          |    Individual 
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    Provider Name        |    HEATHER LYNN MCGEE JOHNSTON LPC, NCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/19/2023
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    Last Update Date     |    09/30/2025
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Provider Practice Location Address
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    Address Line         |    151 N MAIN ST 
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    City                 |    DECATUR
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    State                |    IL
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    Zip                  |    62523-1206
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    Country              |    US
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    Telephone            |    217-362-6262
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    Fax                  |    217-362-6290
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Provider Business Mailing Address
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    Address Line         |    2047 1350TH AVE 
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    City                 |    LINCOLN
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    State                |    IL
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    Zip                  |    62656-5092
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    Country              |    US
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    Telephone            |    217-671-9653
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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       |    0178.016181
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    License Number State |    IL
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