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Individual
MRS. TIFFANY LAINE JOHNSON
Active
Individual
MRS. TIFFANY LAINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12266
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
1227
LA
Other
Enumeration date
05/30/2007
Last updated
09/06/2013
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