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Crystal Johnson, CAC-AD
Addiction (Substance Use Disorder) Counselor in Waldorf, Maryland
NPI 1407362122

Crystal Johnson is an Addiction (Substance Use Disorder) Counselor based in Waldorf, MD and is specialized in Addiction (Substance Use Disorder). Crystal Johnson practices in Waldorf, MD and has the professional credentials of CAC-AD. The NPI Number for Crystal Johnson is 1407362122 and holds a License No. AC2302 (Maryland).

The current practice location address for Crystal Johnson is 21 Industrial Park Dr Ste 104D, Waldorf, MD and can be reached out via phone at 301-818-0030.

Location: 21 Industrial Park Dr Ste 104D, Waldorf, MD, 20602-2751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407362122
Provider Name
Crystal Johnson
Credential
CAC-AD
Provider Entity Type
Individual
Gender
Female
Address
21 Industrial Park Dr Ste 104D, Waldorf, MD, 20602-2751
Phone Number
301-818-0030
Fax Number
Provider Enumeration Date
12/18/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
21 Industrial Park Dr Ste 104D
City
Waldorf
State
Maryland
Zip
20602-2751
Phone Number
301-818-0030
Fax Number
person
Provider Business Mailing Address Details
Address
21 Industrial Park Dr Ste 104D
City
Waldorf
State
Maryland
Zip
20602-2751
Phone Number
301-818-0030
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
AC2302 (Maryland)
Definition
Definition to come...
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