Individual
MS. NICOSIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 MEMORIAL DR, CLARKSVILLE, TN 37043-6326
(931) 546-8144
Mailing address
1112 LAMONT COURT, CLARKSVILLE, TN 37042
(931) 546-8144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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