Nicholas Renard Johnson

NPI #1699058164 in Tucumcari, New Mexico

Provider Information

NPI Number: 1699058164
Entity Type: Individual
Name: Nicholas Renard Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 21, 2011
Last Updated: Sep 21, 2011

Practice Location

Address: 1110 E HIGH ST
City: Tucumcari
State: New Mexico
ZIP Code: 88401-2510
Phone: (575) 461-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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