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Individual

KAYLA JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-1399
Mailing address
6444 N TRADERS BEND RD, NEWKIRK, OK 74647-7443
(580) 362-6011

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/03/2015
Last updated
08/03/2015
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