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General NPI Number Information
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NPI Number | 1922942580
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Entity Type | Individual
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Provider Name | ALYSON ELAINE BRUBAKER JOHNSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 13760 NOEL RD STE 332
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City | DALLAS
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State | TX
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Zip | 75240-7336
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Country | US
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Telephone | 469-949-3636
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 ROXBORO LN
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City | MCKINNEY
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State | TX
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Zip | 75071-7489
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Country | US
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Telephone | 832-317-2156
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Fax | 832-317-2156
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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 | 15934
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 103940
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License Number State | TX
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