Individual
ORLANDO JOHNSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11229 N PENNSYLVANIA AVE, 531, OKLAHOMA CITY, OK 73120-7739
(405) 759-0532
Mailing address
11229 N PENNSYLVANIA AVE, 531, OKLAHOMA CITY, OK 73120-7739
(405) 759-0532
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/01/2014
Last updated
11/08/2016
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