Individual
CRYSTAL LACHEA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
1 EVERGREEN AVE, HAMDEN, CT 06518-2717
(203) 463-4555
(203) 517-0058
Mailing address
63 MORSE ST, HAMDEN, CT 06517-3211
(203) 907-9665
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12398
CT
Other
Enumeration date
09/18/2023
Last updated
04/23/2025
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