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General NPI Number Information
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NPI Number | 1558657478
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Entity Type | Individual
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Provider Name | CHRISTINA MARIE JOHNSON-GUNN MS, LIMHP, LMHP, LPC
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Gender | Female
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 11738 S 211TH ST
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City | GRETNA
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State | NE
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Zip | 68028-3754
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Country | US
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Telephone | 402-681-5181
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Fax | 940-293-0803
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Provider Business Mailing Address
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Address Line | 11738 S 211TH ST
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City | GRETNA
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State | NE
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Zip | 68028-3754
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Country | US
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Telephone | 402-681-5181
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Fax | 402-939-0803
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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 | 9403
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License Number State | NE
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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 | LPC20775
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License Number State | SD
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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 | 4371
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License Number State | NE
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