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General NPI Number Information
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NPI Number | 1932783370
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Entity Type | Individual
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Provider Name | FELICIA GAYLE JOHNSON LPC
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Gender | Female
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 647 E MARKET ST
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City | AKRON
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State | OH
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Zip | 44304-1620
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Country | US
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Telephone | 234-206-1293
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 WEATHERVANE LN APT 3A
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City | AKRON
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State | OH
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Zip | 44313-5195
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Country | US
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Telephone | 216-835-8758
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.1500810
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License Number State | OH
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