Individual
NICK JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
237 COURT ST, SUITE 304B, READING, PA 19601-3924
(610) 750-9436
Mailing address
9 ILLINOIS AVE, SINKING SPRING, PA 19608-9364
(484) 269-2997
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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