Johnson, Nyshia Navonne

Johnson, Nyshia Navonne is an individual health care provider with primary practice located at 15095 Amargosa Rd Suite 201, Victorville CA 92394. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Nyshia Navonne can be contacted via phone (760) 245-4695.

Contact Information

Primary practice address
15095 Amargosa Rd Suite 201 Victorville CA 92394
Phone: (760) 245-4695
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 21721 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 27853 California

Profile Details

NPI number 1245448398
LBN Legal business name Johnson, Nyshia Navonne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Aug 10th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245448398 NPPES
California Other ICAN766 LACDMH ID

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