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Nicole S. Johnson
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1639604176

Nicole S. Johnson is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Nicole S. Johnson practices in San Diego, CA. The NPI Number for Nicole S. Johnson is 1639604176 and holds a License No. (California).

The current practice location address for Nicole S. Johnson is 3767 Central Ave, San Diego, CA and can be reached out via phone at 619-523-8121.

Location: 3767 Central Ave, San Diego, CA, 92105-2506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639604176
Provider Name
Nicole S. Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3767 Central Ave, San Diego, CA, 92105-2506
Phone Number
619-523-8121
Fax Number
Provider Enumeration Date
04/21/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
373781 05 CA
institution
Provider Business Practice Location Address Details
Address
3767 Central Ave
City
San Diego
State
California
Zip
92105-2506
Phone Number
619-523-8121
Fax Number
person
Provider Business Mailing Address Details
Address
3767 Central Ave
City
San Diego
State
California
Zip
92105-2506
Phone Number
619-523-8121
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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