# CHRYSTAL JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760136568
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 211211926 | MD | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 211211929 | MD | Yes |
| 101YM0800X | Mental Health Counselor | 211211926 | MD | — |
| 101YP1600X | Pastoral Counselor | 10148 | MD | — |
| 101YP2500X | Professional Counselor | 211211928 | MD | — |

## Other

- **Enumeration date:** 02/09/2022
- **Last updated:** 02/09/2022