Individual provider · Type 1 NPI

Kristie Lynn Johnson, CP61134159

Addiction (Substance Use Disorder) Counselor · Spokane, WA

NPI number 1447895602 Active

Practice location

22 S Thor St
Spokane, WA 99202-4855

Call (509) 532-2000 Map

Fax (509) 532-2005

Mailing address

Walla Walla State Penitentiary, 1313 N 13th Ave
Walla Walla, WA 99362

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP61134159 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1447895602

Kristie Lynn Johnson, CP61134159's National Provider Identifier is 1447895602, issued on Nov 12, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spokane, WA. The record was last updated on Nov 17, 2025.