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Individual
CRYSTAL KITTRELL-JOHNSON
Active
Individual
CRYSTAL KITTRELL-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004619
VA
101YP2500X
Professional Counselor
0701004619
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701004619
LICENSED PROFESSIONAL COUNSELOR
VA
Enumeration date
09/18/2013
Last updated
07/05/2023
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