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General NPI Number Information
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NPI Number | 1568451532
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Entity Type | Individual
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Provider Name | KATHY L JOHNSON M.S., LPC
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Gender | Female
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4 W DRY CREEK CIR SUITE 167A
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City | LITTLETON
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State | CO
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Zip | 80120-8060
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Country | US
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Telephone | 303-798-1133
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Fax | 303-798-1166
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Provider Business Mailing Address
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Address Line | 8902 MARIBOU CT
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80130-3315
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Country | US
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Telephone | 303-377-7096
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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 | 4063
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License Number State | CO
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