Individual provider · Type 1 NPI

Tamera Johnson Nichols

Mental Health Counselor · Vallejo, CA

NPI number 1104798271 Active

Practice location

1609 Ensign Ave
Vallejo, CA 94590

Call (707) 556-8921 Map

Mailing address

1609 Ensign Ave
Vallejo, CA 94589

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104798271

Tamera Johnson Nichols's National Provider Identifier is 1104798271, issued on Sep 19, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vallejo, CA. The record was last updated on Sep 19, 2025.