Individual
DR. KRISTINA RENEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 385-6777
Mailing address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 385-6777
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TH0004X
Health Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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