Individual
KIRSTEN APRIL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
18 S GEORGE ST, YORK, PA 17401-1400
(717) 668-9306
Mailing address
5810 OLD HARRISBURG RD, YORK SPRINGS, PA 17372-8762
(717) 353-6274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW020082
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14430394
CAQH
PA
Enumeration date
03/30/2019
Last updated
03/30/2019
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