Individual
CHRYSTAL DAWN LIEBOLD-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4529 SAINT DAVIDS ST UNIT 101, PHILADELPHIA, PA 19127-1216
(646) 957-4294
Mailing address
4529 SAINT DAVIDS ST, PHILADELPHIA, PA 19127-1216
(646) 957-4294
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
77002
CA
1041C0700X
Clinical Social Worker
Primary
—
CA
Other
Enumeration date
06/08/2017
Last updated
02/12/2026
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