CRYSTAL JOHNSON CAC-AD NPI 1407362122

NPI Information

  • NPI: 1407362122
  • Provider Name: CRYSTAL JOHNSON, CAC-AD
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 21 INDUSTRIAL PARK DR STE 104D
    WALDORF, MD
    ZIP 20602
  • Phone: (301) 818-0030

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NPI Details

Crystal Johnson, CAC-AD is an addiction (substance use disorder) counselor in Waldorf, MD. Crystal Johnson, CAC-AD NPI is 1407362122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21 INDUSTRIAL PARK DR STE 104D
WALDORF, MD
ZIP 20602-751
Phone: (301) 818-0030

The enumeration date for this NPI number is 12/18/2017 and was last updated on 12/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)AC2302MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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