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Individual
RENAE JOHNSON
Active
Individual
RENAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, ATR-BC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
6018
CA
101YP2500X
Professional Counselor
6018
CA
221700000X
Art Therapist
16-199
CA
Other
Enumeration date
08/21/2015
Last updated
09/19/2022
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