Individual
SHERRY LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1915 S. DELAWARE PLACE, TULSA, OK 74104
(208) 447-7517
Mailing address
1915 S. DELAWARE PLACE, TULSA, OK 74104
(208) 447-7517
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
381
OK
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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