Individual
BRYTTNI ALLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 S HARRILL AVE, WAGONER, OK 74467-5317
(918) 485-0242
Mailing address
109 S HARRILL AVE, WAGONER, OK 74467-5317
(918) 485-0242
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2610M0801X
OK
175T00000X
Peer Specialist
Primary
2610M0801X
OK
Other
Enumeration date
01/05/2026
Last updated
01/12/2026
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