Individual
NICOLE CROTEAU-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
411 CHESTNUT ST, WILMINGTON, NC 28401-4021
(910) 251-0300
(910) 251-0310
Mailing address
411 CHESTNUT ST, WILMINGTON, NC 28401-4021
(910) 251-0300
(910) 251-0310
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2375
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13575
BLUE CROSS BLUE SHIELD
NC
05
—
6107038
—
NC
Enumeration date
02/14/2006
Last updated
02/17/2009
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