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Individual
KATIE JEAN JOHNSON
Active
Individual
KATIE JEAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
19793
TX
101YP2500X
Professional Counselor
2561
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790867
—
TX
01
—
7212LC
LICENSED PROF COUNSELOR
TX
01
—
7212LC
BCBS
—
01
—
7859920
AETNA
—
Enumeration date
08/10/2006
Last updated
01/16/2008
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