Individual
NICHELLE PATRICE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1701 LIBRARY BLVD STE A, GREENWOOD, IN 46142-1567
(317) 881-9923
(317) 881-9966
Mailing address
1701 LIBRARY BLVD STE A, GREENWOOD, IN 46142-1567
(317) 881-9923
(317) 881-9966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88000510A
IN
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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