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General NPI Number Information
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NPI Number | 1639081987
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Entity Type | Individual
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Provider Name | KACI JOHNSTON LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 1309 W COUNTY LINE RD
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City | WICKENBURG
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State | AZ
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Zip | 85390-1631
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Country | US
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Telephone | 928-588-3213
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Fax |
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Provider Business Mailing Address
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Address Line | 1309 W COUNTY LINE RD
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City | WICKENBURG
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State | AZ
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Zip | 85390-1631
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 23308
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 75134
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License Number State | CA
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