Johnwick Nathan
Johnwick Nathan is a Mental Health Counselor in Laveen, Arizona. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 3
Practice location Address checks out
6736 W Carson RdLaveen, AZ 85339-7024
Phone: (860) 938-6845
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 7015 N 23rd Ln, Phoenix, AZ 85021-7605 — (860) 938-6845
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1306327770 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 23, 2018 |
| Last updated in NPPES | August 23, 2018 |
| Mailing address | 3950 W Chandler Blvd Apt 3049, Chandler, AZ 85226-2662 |
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