Individual
MR. ELDON LAWRENCE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LPC.
Contact information
Practice address
502 N 14TH ST, PERRY, OK 73077-5022
(918) 308-5512
Mailing address
502 N 14TH ST, PERRY, OK 73077-5022
(918) 308-5512
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2587
OK
Other
Enumeration date
07/25/2006
Last updated
06/24/2019
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