Individual
NEVA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16041 N 112TH AVE W, SKIATOOK, OK 74070-0017
(918) 853-1800
Mailing address
16041 N 112TH W AVE, SKIATOOK, OK 74070
(918) 853-1800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R082185433
OK
Other
Enumeration date
05/22/2017
Last updated
07/21/2022
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