DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KRYSTELLE SIMONE JOHNSON AMFT

MEDICARE: KRYSTELLE SIMONE JOHNSON AMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist148878CA

General Provider Information

NPI Number : 1508672411
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRYSTELLE SIMONE JOHNSON AMFT
Provider Business Mailing Address
First Line : 1691 GRAMERCY AVE
Second Line :
City : TORRANCE
State : CA
Zip : 90501-3236
Country : US
Telephone Number : 714-617-4886
Fax Number :
Provider Business Practice Location Address
First Line : 1691 GRAMERCY AVE
Second Line :
City : TORRANCE
State : CA
Zip : 90501-3236
Country : US
Telephone Number : 714-617-4886
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2024
Last Update Date : 12/09/2025

Similar Medicare Providers

1942338355 — DR. REBECCA S BIERMAN D.O.
Practice Location Address:
1691 GRAMERCY AVE
TORRANCE, CA
90501-3236
Practice Phone: 310-320-0195
Practice Fax:
1003391467 — RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS, INC.
Practice Location Address:
1691 GRAMERCY AVE
TORRANCE, CA
90501-3236
Practice Phone: 310-320-0195
Practice Fax:
1093350910 — HEAVEN BEAM-LONGWELL
Practice Location Address:
1691 GRAMERCY AVE
TORRANCE, CA
90501-3236
Practice Phone: 714-617-4886
Practice Fax:
1720689185 — TRISTA SHARIAH MORROW-COLEMAN
Practice Location Address:
1691 GRAMERCY AVE
TORRANCE, CA
90501-3236
Practice Phone: 310-320-0195
Practice Fax:
1174283873 — ALEXANDER DEMETRIUS ROYSTON
Practice Location Address:
1691 GRAMERCY AVE
TORRANCE, CA
90501-3236
Practice Phone: 714-258-7710
Practice Fax:
1437802626 — ASHLEY ROSE GUERRERO
Practice Location Address:
1691 GRAMERCY AVE
TORRANCE, CA
90501-3236
Practice Phone: 714-617-4886
Practice Fax:

Directions to “ KRYSTELLE SIMONE JOHNSON AMFT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.