Individual
PEGGY M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-C
Contact information
Practice address
4122 W 55TH PL STE 119, TULSA, OK 74107-9108
(918) 791-0026
(918) 791-0043
Mailing address
PO BOX 702504, TULSA, OK 74170-2504
(918) 791-0026
(918) 791-0043
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OK
Enumeration date
01/30/2012
Last updated
03/05/2015
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