Individual
KRISTI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6125 S SHERIDAN RD, TULSA, OK 74133-4056
(918) 585-3083
(918) 495-3713
Mailing address
6262 S SHERIDAN RD, TULSA, OK 74133-4055
(918) 492-8200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3116
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3116
STATE OF OKLAHOMA LICENSE
OK
Enumeration date
11/28/2007
Last updated
11/28/2007
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