Individual
NIKOLAUS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3050 S NATIONAL AVE STE 104, SPRINGFIELD, MO 65804-4242
(417) 597-4572
(417) 882-1507
Mailing address
3050 S NATIONAL AVE STE 104, SPRINGFIELD, MO 65804-4242
(417) 597-4572
(417) 882-1507
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
78405
TX
Other
Enumeration date
05/19/2015
Last updated
05/10/2023
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