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NPI Code Detail

MEDICARE: LUCIANA JOHNSON

MEDICARE: LUCIANA JOHNSON
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
1101YM0800XMental Health Counselor89503TX

General Provider Information

NPI Number : 1770302903
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCIANA JOHNSON
Provider Business Mailing Address
First Line : 1350 N WESTMORELAND RD
Second Line :
City : DALLAS
State : TX
Zip : 75211-1654
Country : US
Telephone Number : 469-766-5715
Fax Number : 214-330-2439
Provider Business Practice Location Address
First Line : 1350 N WESTMORELAND RD
Second Line :
City : DALLAS
State : TX
Zip : 75211-1654
Country : US
Telephone Number : 469-766-5715
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2024
Last Update Date : 12/08/2025

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Directions to “ LUCIANA JOHNSON ” Practice Location

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