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Individual
KAREN JOHNSON
Active
Individual
KAREN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCDC III
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9803978
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5000430
—
SD
Enumeration date
05/31/2011
Last updated
02/19/2013
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