Individual provider · Type 1 NPI

Nicholaus Johnson

Student in an Organized Health Care Education/Training Program · Sacramento, CA

NPI number 1083116065 Active

Practice location

2130 Stockton Blvd
Sacramento, CA 95817-1337

Mailing address

6509 21st Ave
Sacramento, CA 95820-5842

Other practice locations

  • 401 S St, Sacramento, CA 95811-6919 · (916) 274-1727
  • 1820 J St, Sacramento, CA 95811-3010 · (916) 313-8434

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XR1264810917 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

16 other providers at this address

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About NPI 1083116065

Nicholaus Johnson's National Provider Identifier is 1083116065, issued on Mar 6, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Aug 28, 2024.