Individual
NINA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2719 TOTTINGHAM RD, OKLAHOMA CITY, OK 73120-3115
(405) 210-7697
Mailing address
2719 TOTTINGHAM RD, OKLAHOMA CITY, OK 73120-3115
(405) 210-7697
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
H082313009
OK
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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