Individual
KRISTAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 LIBERTY ST, SPRINGFIELD, MA 01104-3736
(413) 301-9406
(413) 732-7075
Mailing address
94 SARGENT RD APT 4, WESTMINSTER, MA 01473-1043
(978) 569-8374
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN2388797
MA
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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