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Individual
THOMAS JOHNSON SR.
Active
Individual
THOMAS JOHNSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2000623
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0314111
—
NJ
05
—
0314129
—
NJ
Enumeration date
05/19/2019
Last updated
05/20/2019
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