Individual provider · Type 1 NPI
Nicole S. Johnson
Addiction (Substance Use Disorder) Counselor · San Diego, CA
NPI number
1639604176
Active
Practice location
3767 Central Ave
San Diego, CA 92105-2506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A059100121 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1639604176
Nicole S. Johnson's National Provider Identifier is 1639604176, issued on Apr 21, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Feb 25, 2026.