Individual
MRS. ALISA ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4157 S HARVARD AVE STE 118, TULSA, OK 74135-2627
(918) 991-5388
(918) 271-5065
Mailing address
4157 S HARVARD AVE STE 118, TULSA, OK 74135-2627
(918) 991-5388
(918) 271-5065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/12/2011
Last updated
08/14/2020
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