Individual
KELLY NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LMFT
Contact information
Practice address
11900 N MACARTHUR BLVD STE F, OKLAHOMA CITY, OK 73162-1864
(405) 295-5588
Mailing address
3005 W EUBANKS ST, OKLAHOMA CITY, OK 73112-6632
(405) 295-5588
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1242
OK
Other
Enumeration date
02/12/2015
Last updated
05/24/2024
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