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Individual

KRISTINA L JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDP

Contact information

Practice address
1321 N ASH ST, SPOKANE, WA 99201-2803
(509) 327-3120
(509) 327-3228
Mailing address
PO BOX 4672, SPOKANE, WA 99220-0672
(509) 456-5465
(509) 456-5710

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60344329
WA
Enumeration date
02/05/2018
Last updated
09/26/2018
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