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
Mailing addressPo Box 1447, Chehalis, WA 98532-0378

Other providers in Longview