Individual
KRISTA SUSAN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
87 S HIGH ST, BRIDGTON, ME 04009-1123
(207) 647-5600
Mailing address
87 S HIGH ST, BRIDGTON, ME 04009-1123
(207) 647-5600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC7063
ME
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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