Individual
KRYSTLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ITFS
Contact information
Practice address
4085 N RANCHO DR, SUITE 120, LAS VEGAS, NV 89130-3466
(702) 349-8258
Mailing address
6732 BILTMORE GARDEN ST, LAS VEGAS, NV 89149-0226
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
174400000X
Specialist
—
NC
222Q00000X
Developmental Therapist
Primary
—
NC
Other
Enumeration date
05/03/2011
Last updated
08/09/2024
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