Individual
MR. JOHNATHON HEATH ROBERTSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
716 BUTLER ST, TAHLEQUAH, OK 74464-2400
(918) 931-9225
Mailing address
716 BUTLER ST, TAHLEQUAH, OK 74464-2400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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