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Individual

JAMES PHILLIP JOHNSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
105 SE 45TH ST, OKLAHOMA CITY, OK 73129-3201
(405) 632-1900
(405) 632-1976
Mailing address
105 SE 45TH ST, OKLAHOMA CITY, OK 73129-3201
(405) 632-1900
(405) 632-1976

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4004
OK

Other

Enumeration date
09/22/2009
Last updated
09/22/2009
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