Individual
MS. JAMIE DAWN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 S BROWN ST, VINITA, OK 74301-3413
(405) 898-7476
Mailing address
216 S BROWN ST, VINITA, OK 74301-3413
(405) 898-7476
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Enumeration date
11/16/2015
Last updated
07/21/2022
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