Individual
NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC,LMFT
Contact information
Practice address
6121 GREEN BAY RD, SUITE 230, KENOSHA, WI 53142-2926
(262) 654-8366
Mailing address
6121 GREEN BAY RD, SUITE 230, KENOSHA, WI 53142-2926
(262) 654-8366
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2882-125
WI
106H00000X
Marriage & Family Therapist
Primary
635-124
WI
Other
Enumeration date
10/26/2006
Last updated
09/11/2025
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