IndividualActive
Crystal Johnson
NPI 1215540729 · Marriage & Family Therapist · Caldwell, ID
Provider details
- NPI number
- 1215540729
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 141018 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2903 Dale Ln
Caldwell, ID 83605-1245
Phone: (530) 712-6127
Approximate (ZIP-level) locationGet directions
Mailing address
2903 Dale Ln
Caldwell, ID 83605-1245
Additional practice locations (1)
- 634 Saint Marks St Ste aRedding, CA 96003-2553Phone: (530) 712-6127
Registry dates
- Enumerated
- 2020-08-25
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.