Individual
BRANDI DAWN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 ASH ST, PAWNEE, OK 74058-4013
(918) 399-7475
Mailing address
PO BOX 201, PAWNEE, OK 74058-0201
(918) 399-7475
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
175T00000X
Peer Specialist
—
OK
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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