Johnson, Crystal Rose
Johnson, Crystal Rose is an sole proprietor health care provider with primary practice located at 715 Lake St , Oak Park IL 60301-1422. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Crystal Rose can be contacted via phone (708) 209-8987.Contact Information
Primary practice address
715 Lake St
Oak Park IL 60301-1422
Phone: (708) 209-8987
Fax: (708) 434-5586
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071.009543 | Illinois |
Profile Details
| NPI number | 1659870798 |
|---|---|
| LBN Legal business name | Johnson, Crystal Rose |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2018 |
| Last updated | Feb 5th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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