Individual
JOHNNA NICKOLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSWA
Contact information
Practice address
1404 E 11TH AVE, SPOKANE, WA 99202-3502
(509) 863-8745
Mailing address
1404 E 11TH AVE, SPOKANE, WA 99202-3502
(509) 863-8745
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
LW70016253
WA
Other
Enumeration date
08/12/2022
Last updated
02/10/2026
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