person
Nicole Marie Johnson
Mental Health Counselor in Mattoon, Illinois
NPI 1770170995

Nicole Marie Johnson is a Mental Health Counselor based in Mattoon, IL and is specialized in Mental Health. Nicole Marie Johnson practices in Mattoon, IL. The NPI Number for Nicole Marie Johnson is 1770170995 and holds a License No. (Illinois).

The current practice location address for Nicole Marie Johnson is 750 Broadway Ave E, Mattoon, IL and can be reached out via phone at 217-238-5700.

Location: 750 Broadway Ave E, Mattoon, IL, 61938-4610
person
Provider Profile Details
NPI Number
1770170995
Provider Name
Nicole Marie Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
750 Broadway Ave E, Mattoon, IL, 61938-4610
Phone Number
217-238-5700
Fax Number
Provider Enumeration Date
12/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 Broadway Ave E
City
State
Zip
61938-4610
Phone Number
217-238-5700
Fax Number
person
Provider Business Mailing Address Details
Address
750 Broadway Ave E
City
State
Zip
61938-4610
Phone Number
217-238-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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