Nicole Renee Johnson

NPI #1407414709 in Longview, Washington

Provider Information

NPI Number: 1407414709
Entity Type: Individual
Name: Nicole Renee Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: May 31, 2019
Last Updated: May 31, 2019

Practice Location

Address: 1338 COMMERCE AVE STE 303
City: Longview
State: Washington
ZIP Code: 98632-3726
Phone: (360) 261-6930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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