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General NPI Number Information
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NPI Number | 1669953931
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Entity Type | Individual
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Provider Name | MARIAH DANIELLE JOHNSON LMHP, LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/24/2018
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Last Update Date | 04/21/2022
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Provider Practice Location Address
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Address Line | 3883 NORMAL BLVD STE 204
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City | LINCOLN
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State | NE
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Zip | 68506-5218
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Country | US
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Telephone | 539-249-2324
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Fax |
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Provider Business Mailing Address
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Address Line | 6401 S 49TH ST
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City | LINCOLN
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State | NE
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Zip | 68516-3284
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Country | US
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Telephone | 402-730-2191
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5800
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 220
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License Number State | NE
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