Individual provider · Type 1 NPI

Crystal Lanette Johnson

Mental Health Counselor · Marietta, GA

NPI number 1730036690 Active

Practice location

1640 Powers Ferry Rd SE
Marietta, GA 30067-5491

Mailing address

36 Vinings Lake Dr SW
Mableton, GA 30126-2536

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730036690

Crystal Lanette Johnson's National Provider Identifier is 1730036690, issued on Mar 11, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marietta, GA. The record was last updated on Mar 11, 2026.