Individual
JO ANN COLE-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6505 N. SHAWNEE AVE, OKLAHOMA, OK 73116
(408) 590-2019
Mailing address
6505 N SHAWNEE AVE, OKLAHOMA CITY, OK 73116-1903
(408) 590-2019
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/03/2017
Last updated
07/21/2022
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