National Provider Identifier

Nichole M Johnson

Nichole M Johnson is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Jamestown, NY and a listed phone number of (716) 661-8850.

NPI 1548768401Jamestown, NYMental Health Counselor

Profile Overview

NPI
1548768401
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
January 25, 2018
Last Updated
January 25, 2018

Practice Location

  • 200 E 3Rd St
  • Jamestown, NY 14701-5433

Phone: (716) 661-8850

Mailing Address

  • 7 N Erie St
  • Mayville, NY 14757-1095

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1548768401
Entity Type
Individual
Last Name
Johnson
First Name
Nichole
Middle Name
M
Mailing Street Address
7 N Erie St
Mailing City
Mayville
Mailing State
NY
Mailing ZIP Code
14757-1095
Mailing Country
US
Mailing Phone
(716) 753-4104
Mailing Fax
(716) 753-4230
Practice Street Address
200 E 3Rd St
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-5433
Practice Country
US
Practice Phone
(716) 661-8850
Enumeration Date
January 25, 2018
Last Updated
January 25, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)