Individual
NICOLE TOIAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4709 NW PENNINGTON LN, BLUE SPRINGS, MO 64015-3867
(816) 686-2405
Mailing address
312 SW GREENWICH DR STE 544, LEES SUMMIT, MO 64082-4408
(816) 509-6263
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012029856
MO
Other
Enumeration date
03/21/2013
Last updated
05/14/2021
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