Individual
KRISTIN KAY JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
20440 N 27TH AVE, PHOENIX, AZ 85027-3240
(480) 882-4545
(480) 882-5017
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(480) 882-5814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-10344
AZ
101YP2500X
Professional Counselor
LPC-10344
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699853
—
AZ
Enumeration date
11/10/2017
Last updated
01/20/2023
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