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General NPI Number Information
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NPI Number | 1992085948
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Entity Type | Individual
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Provider Name | CHRISTINA CAY JOHNSON MAKI LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/23/2011
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 640 N RIVER RD STE 108
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City | NAPERVILLE
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State | IL
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Zip | 60563-8947
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Country | US
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Telephone | 630-718-0717
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Fax |
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Provider Business Mailing Address
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Address Line | 640 N RIVER RD STE 108
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City | NAPERVILLE
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State | IL
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Zip | 60563-8947
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T-LMFT 1242
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0163151
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0172961
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 166.001158
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License Number State | IL
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