Nicole Rene Johnson in Onalaska - Addiction (substance Use Disorder)
Nicole Rene Johnson - NPI 1689616518
Nicole Rene Johnson is a Addiction (substance Use Disorder) in Onalaska, Wisconsin. Nicole Rene Johnson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Nicole Rene Johnson is 1689616518. The last update date is 2021-03-30.
Nicole Rene Johnson's current location address is 704 Sand Lake Rd Ste 105, Onalaska, Wisconsin. You can contact this provider via phone number 6087993881 and fax number 6084402823. The mailing address for Nicole Rene Johnson is 704 Sand Lake Rd Ste 105, Onalaska, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Rene Johnson |
|---|---|
| Address | 704 Sand Lake Rd Ste 105, Onalaska, Wisconsin |
| Phone Number | 6087993881 |
| Fax Number | 6084402823 |
| Sole Proprietor | Y |
| Credentials | M.S., L.P. |
NPI Number Detail
| NPI Number | 1689616518 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2021-03-30 |
Provider Mailing Address Detail
| Address | 704 Sand Lake Rd Ste 105 |
|---|---|
| City | Onalaska |
| State | Wisconsin (WI) |
| Post Code | 546502456 |
| Phone Number | 6087993881 |
| Fax Number | 6084402823 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 15560-131 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the Nicole Rene Johnson's unique identification number?
The Nicole Rene Johnson has been assigned the NPI (National Provider Identifier) Number 1689616518 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Nicole Rene Johnson?
The Nicole Rene Johnson is physically situated at 704 Sand Lake Rd Ste 105, in the city of Onalaska, state of WI, with the postal code 546502456.
What is Nicole Rene Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Nicole Rene Johnson is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
On what date did Nicole Rene Johnson receive its 1689616518 assignment from the Centers for Medicare & Medicaid Services?
The Nicole Rene Johnson was assigned its 1689616518 on 2006-06-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Nicole Rene Johnson most recently updated?
The details pertaining to the Nicole Rene Johnson, including its address, specialty, and other relevant information, were last refreshed on 2021-03-30.