Individual
MRS. HEATHER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1407 NE D ST, STIGLER, OK 74462-2815
(918) 448-9727
Mailing address
607 N HOYT ST, KINTA, OK 74552-3074
(918) 448-9727
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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