Individual
MR. JAWAN M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12601 N PENNSYLVANIA AVE, APT 440 S, OKLAHOMA CITY, OK 73120-9450
(405) 833-6443
Mailing address
12601 N PENNSYLVANIA AVE, APT 440 S, OKLAHOMA CITY, OK 73120-9450
(405) 833-6443
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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