Individual
ZACHARY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3033 NW 63RD ST # 165E, OKLAHOMA CITY, OK 73116-3634
(918) 688-5526
Mailing address
5100 N BROOKLINE AVE STE 630, OKLAHOMA CITY, OK 73112-3634
(918) 688-5526
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6632
OK
Other
Enumeration date
08/15/2016
Last updated
04/15/2020
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