Organization
JOHNNA M. DICKENSON-ORTEGA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNA M ORTEGA LPC (OWNER)
(405) 788-7283
Entity
Organization
Contact information
Practice address
3704 WALKING SKY RD, EDMOND, OK 73013-6842
(405) 788-7283
(405) 513-5032
Mailing address
3704 WALKING SKY RD, EDMOND, OK 73013-6842
(405) 788-7283
(405) 513-5032
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3500
OK
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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