Individual
KRISTIE LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP61134159
Contact information
Practice address
22 S THOR ST, SPOKANE, WA 99202-4855
(509) 532-2000
(509) 532-2005
Mailing address
WALLA WALLA STATE PENITENTIARY, 1313 N 13TH AVE, WALLA WALLA, WA 99362
(509) 524-7509
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61134159
WA
Other
Enumeration date
11/12/2019
Last updated
11/17/2025
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