Individual
MS. JEWEL E. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, M.S.
Contact information
Practice address
1102 NE 20TH ST, OKLAHOMA CITY, OK 73111-2104
(405) 625-4330
Mailing address
1102 NE 20TH ST, OKLAHOMA CITY, OK 73111-2104
(405) 625-4330
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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