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Individual
LISA JOHNSON-CALDWELL
Active
Individual
LISA JOHNSON-CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSAA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2024-0149
NM
101YM0800X
Mental Health Counselor
Primary
T-CTL0214961
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35650338
—
NM
Enumeration date
05/21/2021
Last updated
08/12/2026
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