Johnson, Nicole

Johnson, Nicole is an individual health care provider with primary practice located at 6121 Green Bay Rd Suite 230, Kenosha WI 53142-2926. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Johnson, Nicole can be contacted via phone (262) 654-8366.

Contact Information

Primary practice address
6121 Green Bay Rd Suite 230 Kenosha WI 53142-2926
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2882-125 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 635-124 Wisconsin

Profile Details

NPI number 1104901263
LBN Legal business name Johnson, Nicole
Credentials LPC,LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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