Individual
MISS GE'ANDRA DENISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA BHRS
Contact information
Practice address
2204 NW 118TH TER, OKLAHOMA CITY, OK 73120-7807
(405) 596-1961
Mailing address
2204 NW 118TH TER, OKLAHOMA CITY, OK 73120-7807
(405) 596-1961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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