NIKKI K JOHANSEN
Individual Provider (NPI-1)
Active
Counselor, School
Provider Information
- NPI Number
1245118728- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 955 W ALAMEDA RD, POCATELLO, ID, 832016145
- Phone
- (208) 237-2233
Specialties & Taxonomies
Counselor, School
Primary