Individual
KRISTEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
1121 SITUS CT STE 130, RALEIGH, NC 27606-4164
(919) 590-9937
Mailing address
2204 ORCHARD LAKE DR, APEX, NC 27539-6278
(919) 609-5195
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6695
NC
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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