NICOLE ELIZABETH JOHNSON

SAN DIEGO, CA
NPI1669954160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-08-30
Last Update Date2018-08-30
Business Address
Miss NICOLE ELIZABETH JOHNSON CADTP #6406
3767 CENTRAL AVE
SAN DIEGO, CA 92105-2506
Phone number: 619-584-4010
Mailing Address
Miss NICOLE ELIZABETH JOHNSON CADTP #6406
3767 CENTRAL AVE
SAN DIEGO, CA 92105-2599
Phone number: 619-584-4010