Individual
LAGENA R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, BHRS
Contact information
Practice address
70 N 31ST ST, CLINTON, OK 73601-9116
(580) 323-6021
(580) 323-5635
Mailing address
105 W UNIVERSITY DR, APT.K-4, WEATHERFORD, OK 73096-2007
(580) 890-0328
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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