Individual
TAYLOR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 N CLASSEN BLVD STE 214, OKLAHOMA CITY, OK 73106-6834
(405) 601-6710
Mailing address
2132 NE 20TH ST, OKLAHOMA CITY, OK 73111-1615
(405) 902-4713
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
06/18/2022
Last updated
06/18/2022
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