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General NPI Number Information
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NPI Number | 1861884892
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Entity Type | Individual
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Provider Name | KAMLA DENISE JOHNSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/27/2015
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 16423 SW 27TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-5205
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Country | US
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Telephone | 954-802-8857
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 NE 125TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-6034
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Country | US
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Telephone | 305-915-8900
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MCAP100703
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PSW1168
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License Number State | FL
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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 | SW22734
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | CBHCMS100516
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License Number State | FL
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