Individual
MS. JOHNNA M DICKENSON-ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1209 SOVEREIGN ROW, OKLAHOMA CITY, OK 73108-1824
(405) 942-5570
(405) 942-5603
Mailing address
130 E 45TH ST, 16 E, SHAWNEE, OK 74804-1499
(405) 788-7283
(405) 942-5603
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3500
OK
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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