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General NPI Number Information
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NPI Number | 1568202406
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Entity Type | Organization
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Legal Business Name | DANETTE DOLLISON-JOHNSON, LLC
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 203 SIERRA CT
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City | METAIRIE
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State | LA
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Zip | 70001-5327
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Country | US
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Telephone | 504-732-9730
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Fax | 844-803-5223
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Provider Business Mailing Address
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Address Line | 203 SIERRA CT
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City | METAIRIE
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State | LA
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Zip | 70001-5327
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Country | US
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Telephone | 504-732-9730
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Fax | 844-803-5223
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Authorized Official
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Title or Position | OWNER
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Name | DANETTE DOLLISON-JOHNSON
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Credential | LPC-S, MT-BC
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Telephone | 504-732-9730
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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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