Individual
KRISTIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CFRC
Contact information
Practice address
107 W 6TH NORTH ST STE 204, SUMMERVILLE, SC 29483-6637
(843) 666-2858
Mailing address
107 W 6TH NORTH ST STE 204, SUMMERVILLE, SC 29483-6637
(843) 666-2858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11016
SC
101YM0800X
Mental Health Counselor
Primary
8483
SC
Other
Enumeration date
06/30/2023
Last updated
05/06/2026
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