Individual
MS. NICOLE MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SC.M, CGC
Contact information
Practice address
475 BRANNAN ST, SAN FRANCISCO, CA 94107-5418
(443) 768-9000
Mailing address
200 N. MAPLE AVE, UNIT #203, FALLS CHURCH, VA 22046
(443) 768-9000
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
10/13/2005
Last updated
06/02/2016
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