Nicholette Dawn Johnson

NPI #1053960245 in San Dimas, California

Provider Information

NPI Number: 1053960245
Entity Type: Individual
Name: Nicholette Dawn Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Sep 10, 2019
Last Updated: May 30, 2023

Practice Location

Address: 670 W BASELINE RD
City: San Dimas
State: California
ZIP Code: 91773-1492
Phone: (909) 741-7124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X
Social Worker	104100000X	Primary

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