Individual
NICOLE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 HOWARD ST, KALAMAZOO, MI 49001-2748
(248) 564-1949
Mailing address
401 HOWARD ST, KALAMAZOO, MI 49001-2748
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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