Johnston, Kristine M

Johnston, Kristine M is an sole proprietor health care provider with primary practice located at 130 Lewis Street , San Antonio TX 78212-5538. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Johnston, Kristine M can be contacted via phone (210) 829-7471.

Contact Information

Primary practice address
130 Lewis Street San Antonio TX 78212-5538
Phone: (210) 829-7471
Fax: (210) 829-5398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X 228590 Texas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 228590 Texas

Profile Details

NPI number 1558422923
LBN Legal business name Johnston, Kristine M
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Oct 1st, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558422923 NPPES
Texas MEDICAID 0332306-01
Texas Other 00F79C
Texas Other TXB154952

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