Most Relevant Information
Provider Data
| NPI Number: | 1003640459 |
| Provider Name: | NICOLE MARIAN JOHNSTONE RADT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/28/2024 |
| Last Updated: | 08/28/2024 |
Provider Practice Location
18646 OXNARD ST
TARZANA
CA
913561486
Practice Location Phone/Fax
| Phone: | 8186543950 |
| Fax: |
Provider Mailing Location
18646 OXNARD ST
TARZANA
CA
913561411
Provider Mailing Phone/Fax
| Phone: | 8186543950 |
| Fax: |