Johnson, Kristie Lynn

Johnson, Kristie Lynn is an individual health care provider with primary practice located at 500 Se Washington Ave , Chehalis WA 98532-3058. 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, Kristie Lynn can be contacted via phone (360) 748-4776.

Contact Information

Primary practice address
500 Se Washington Ave Chehalis WA 98532-3058
Phone: (360) 748-4776
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP61134159 Washington

Profile Details

NPI number 1447895602
LBN Legal business name Johnson, Kristie Lynn
Credentials CP61134159
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2019
Last updated Jul 27th, 2022 - about 2 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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