Individual
NICOLE LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
2550 CARTER AVE, ASHLAND, KY 41101-7830
(606) 329-0727
Mailing address
800 GALLIA ST., SUITE 600, PORTSMOUTH, OH 45662
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
281137
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161508
OH
Other
Enumeration date
08/29/2017
Last updated
03/22/2023
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