Individual
KRYSTLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 SAINT MARY ST, ELTON, LA 70532
(337) 200-0416
Mailing address
PO BOX 1026, ELTON, LA 70532-1026
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
8799
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/28/2015
Last updated
02/18/2024
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