Provider Demographics
NPI:1316793979
Name:JOHNSON, NATALIE CRISTINA (LMHP, LADC)
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:CRISTINA
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LMHP, LADC
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:CRISTINA
Other - Last Name:SLUKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LADC
Mailing Address - Street 1:7211 GREENWOOD CT
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68507-2161
Mailing Address - Country:US
Mailing Address - Phone:402-499-1149
Mailing Address - Fax:
Practice Address - Street 1:7211 GREENWOOD CT
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68507-2161
Practice Address - Country:US
Practice Address - Phone:402-499-1149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6027101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health