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General NPI Number Information
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NPI Number | 1841544947
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Entity Type | Individual
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Provider Name | ANNEKE JOHNSON MA, LPC, LMHC,LCHMCS
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Gender | Female
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Dates
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Enumeration Date | 10/29/2012
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 2845 BEATTIES FORD RD.
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City | CHARLOTTE
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State | NC
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Zip | 28216
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Country | US
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Telephone | 571-206-1121
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Fax | 910-541-9488
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Provider Business Mailing Address
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Address Line | 1144 WESTERN BLVD # 1008
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6651
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Country | US
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Telephone | 571-206-1121
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Fax | 910-541-9488
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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 | A9338
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License Number State | NC
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