Individual provider · Type 1 NPI
Nicole Gabbrielle Johnson, PhD, LPC, CAADC
Professional Counselor · Philadelphia, PA
NPI number
1962795922
Active
Practice location
7550 Rugby St
Philadelphia, PA 19150-2608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5651 (PA) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7378 (PA) |
| Professional Counselor Primary | 101YP2500X | PC005270 (PA) |
Professional Counselor: Definition to come...
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About NPI 1962795922
Nicole Gabbrielle Johnson, PhD, LPC, CAADC's National Provider Identifier is 1962795922, issued on May 24, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 14, 2017.