Individual
LAQUAVA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6425 NW CACHE RD STE 214, LAWTON, OK 73505-3393
(580) 647-0861
Mailing address
6816 NW FAIRCLOUD DR, LAWTON, OK 73505-1280
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11603
OK
Other
Enumeration date
09/27/2018
Last updated
07/30/2025
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