Individual provider · Type 1 NPI

Nicole Renee Johnson

Peer Specialist · Longview, WA

NPI number 1407414709 Active

Practice location

1338 Commerce Ave Ste 303
Longview, WA 98632-3726

Call (360) 261-6930 Map

Mailing address

PO Box 1447
Chehalis, WA 98532-0378

Other practice locations

  • 1338 Commerce Ave Ste 303, Longview, WA 98632-3726 · (360) 261-6930

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XCG60971822 (WA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

3 other providers at this address

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About NPI 1407414709

Nicole Renee Johnson's National Provider Identifier is 1407414709, issued on May 31, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Longview, WA. The record was last updated on May 31, 2019.