Individual
RYAN MITCHELL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
Mailing address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12093
OK
101YP2500X
Professional Counselor
2013022750
MO
Other
Enumeration date
03/08/2017
Last updated
05/24/2024
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