Individual
DR. JOHNIE DEAN FREDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, LPC
Contact information
Practice address
905 E WILSON ST, SHAWNEE, OK 74804-4165
(405) 214-0116
(877) 334-8552
Mailing address
33007 45TH ST, SHAWNEE, OK 74804-3429
(405) 214-0116
(877) 334-8552
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
4469
OK
Other
Enumeration date
12/28/2009
Last updated
10/12/2020
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