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General NPI Number Information
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NPI Number | 1699546051
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Entity Type | Organization
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Legal Business Name | L. B. JOHNSON THERAPEUTICS, PLLC
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 23419 CRANBERRY GRADER LN
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City | HOCKLEY
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State | TX
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Zip | 77447-2339
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Country | US
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Telephone | 281-317-7745
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Fax |
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Provider Business Mailing Address
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Address Line | 16635 SPRING CYPRESS RD UNIT 902
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City | CYPRESS
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State | TX
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Zip | 77410-1010
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Country | US
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Telephone | 281-317-7745
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Fax |
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Authorized Official
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Title or Position | CLINICAL THERAPIST/ OWNER
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Name | MARITZA ROBINSON
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Credential | LCSW, LCDC
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Telephone | 601-382-6694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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