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NPI Code Detail

MEDICARE: MISS NATALIE C JOHNSON MS, LMFT-A, LCDC-I

MEDICARE:  MISS NATALIE C JOHNSON  MS, LMFT-A, LCDC-I
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist203108TX

General Provider Information

NPI Number : 1376050641
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS NATALIE C JOHNSON MS, LMFT-A, LCDC-I
Provider Business Mailing Address
First Line : 4810 COLE AVE APT 1416
Second Line :
City : DALLAS
State : TX
Zip : 75205-5508
Country : US
Telephone Number : 682-738-5540
Fax Number :
Provider Business Practice Location Address
First Line : 4950 KELLER SPRINGS RD STE 310
Second Line :
City : ADDISON
State : TX
Zip : 75001-6349
Country : US
Telephone Number : 682-738-5540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2018
Last Update Date : 01/08/2018

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Directions to “ MISS NATALIE C JOHNSON MS, LMFT-A, LCDC-I” Practice Location

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