Johnson, Nicholette Dawn

Johnson, Nicholette Dawn is an sole proprietor health care provider with primary practice located at 670 W Baseline Rd , San Dimas CA 91773-1492. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Johnson, Nicholette Dawn can be contacted via phone (909) 741-7124.

Contact Information

Primary practice address
670 W Baseline Rd San Dimas CA 91773-1492
Phone: (909) 741-7124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 89288 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 89288 California
Behavioral Health & Social Service Providers / Social Worker 104100000X 89288 California

Profile Details

NPI number 1053960245
LBN Legal business name Johnson, Nicholette Dawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2019
Last updated May 30th, 2023 - about 3 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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