Kittrell-Johnson, Crystal

Kittrell-Johnson, Crystal is an individual health care provider with primary practice located at 3575 Bridge Rd Ste 8 # 201, Suffolk VA 23435. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Kittrell-Johnson, Crystal can be contacted via phone (757) 632-7107.

Contact Information

Primary practice address
3575 Bridge Rd Ste 8 # 201 Suffolk VA 23435
Phone: (757) 632-7107
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701004619 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701004619 Virginia

Profile Details

NPI number 1770919029
LBN Legal business name Kittrell-Johnson, Crystal
Credentials PHD, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2013
Last updated Jul 5th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770919029 NPPES
Virginia Other 0701004619 LICENSED PROFESSIONAL COUNSELOR

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