Individual
AMBER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5780
Mailing address
725 W WALNUT AVE, DUNCAN, OK 73533-4619
(580) 736-5477
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
314983
OK
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/18/2019
Last updated
07/17/2025
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