Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Renee Johnson

Individual provider Peer Specialist · NPI 1407414709

Nicole Renee Johnson is a Peer Specialist in Longview, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2019

Practice location Address checks out

1338 Commerce Ave Ste 303
Longview, WA 98632-3726
Phone: (360) 261-6930
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1338 Commerce Ave Ste 303, Longview, WA 98632-3726 — (360) 261-6930

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence CG60971822 (WA)

Record details

NPI number1407414709
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2019
Last updated in NPPESMay 31, 2019

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