Individual
MR. DERRICK E JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2212 WESTPARK DR, NORMAN, OK 73069-4097
(405) 310-3262
Mailing address
2212 WESTPARK DR., NORMAN, OK 73069
(405) 310-3262
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2284
OK
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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