Individual
KRISTINE H JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
11022 SANTA MONICA BLVD STE 250, LOS ANGELES, CA 90025-7573
(310) 625-1035
Mailing address
11022 SANTA MONICA BLVD STE 250, LOS ANGELES, CA 90025-7573
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
90129
CA
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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