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Individual

CRYSTAL LANETTE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1640 POWERS FERRY RD SE, MARIETTA, GA 30067-5491
(847) 372-1361
Mailing address
36 VININGS LAKE DR SW, MABLETON, GA 30126-2536
(847) 372-1361

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/11/2026
Last updated
03/11/2026
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