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Individual
DR. NICOLE GABBRIELLE JOHNSON
Active
Individual
DR. NICOLE GABBRIELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, LPC, CAADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5651
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
7378
PA
101YP2500X
Professional Counselor
Primary
PC005270
PA
Other
Enumeration date
05/24/2011
Last updated
03/14/2017
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