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General NPI Number Information
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NPI Number | 1811314818
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Entity Type | Individual
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Provider Name | TERESA JOHNSON MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 21539 E PUESTA DEL SOL
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-7025
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Country | US
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Telephone | 480-221-4311
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Fax |
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Provider Business Mailing Address
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Address Line | 21539 E PUESTA DEL SOL
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-7025
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Country | US
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Telephone | 480-221-4311
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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 | 24596
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 24596
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 24596
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 24596
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 24596
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | 24596
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License Number State | AZ
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