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General NPI Number Information
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NPI Number | 1598006827
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Entity Type | Individual
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Provider Name | CHARLES DUSTIN JOHNSON M.S., ED.S.
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Gender | Male
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Dates
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Enumeration Date | 03/12/2013
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 2625 REDWING RD STE 110
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City | FORT COLLINS
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State | CO
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Zip | 80526-2878
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Country | US
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Telephone | 970-444-2815
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Fax |
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Provider Business Mailing Address
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Address Line | 2625 REDWING RD STE 110
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City | FORT COLLINS
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State | CO
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Zip | 80526-2878
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Country | US
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Telephone | 970-480-0707
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC0011971
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License Number State | CO
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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 | LPC0011971
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LPC0011971
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC0011971
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License Number State | CO
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