Individual
MS. CRYSTAL ELAINE MULLEN-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, PIP,
Contact information
Practice address
2024 3RD AVE N STE 312, BIRMINGHAM, AL 35203-3302
(205) 721-9893
Mailing address
601 HICKORY ST, BIRMINGHAM, AL 35206-1616
(205) 913-6078
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1332-3980C
AL
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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