Johnson, Crystal

Johnson, Crystal is an individual health care provider with primary practice located at 21 Industrial Park Dr Ste 104D , Waldorf MD 20602-2751. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Johnson, Crystal can be contacted via phone (301) 818-0030.

Contact Information

Primary practice address
21 Industrial Park Dr Ste 104D Waldorf MD 20602-2751
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X AC2302 Maryland

Profile Details

NPI number 1407362122
LBN Legal business name Johnson, Crystal
Credentials CAC-AD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2017
Last updated Dec 18th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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