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1215540729
CRYSTAL JOHNSON
CALDWELL, ID
NPI
1215540729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 141018)
Enumeration Date
2020-08-25
Last Update Date
2025-10-23
Business Address
CRYSTAL JOHNSON
2903 DALE LN
CALDWELL, ID 83605-1245
Phone number: 530-712-6127
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Mailing Address
CRYSTAL JOHNSON
2903 DALE LN
CALDWELL, ID 83605-1245
Phone number: 530-712-6127
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