Individual
HOLLI DOROTHEA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 E LOGAN AVE, GUTHRIE, OK 73044-3340
(405) 406-2979
Mailing address
424 E LOGAN AVE, GUTHRIE, OK 73044-3340
(405) 406-2979
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6771
OK
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/23/2013
Last updated
04/26/2018
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