Individual
TONYA BOLTON-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
111 N LEE, 214, OKLAHOMA CITY, OK 73103
(405) 516-0343
(405) 516-0344
Mailing address
1111 N LEE AVE STE 214, OKLAHOMA CITY, OK 73103-2620
(405) 160-3435
(405) 516-0344
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5421
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760747604
NPI
OK
05
—
200436920A
—
OK
Enumeration date
07/06/2012
Last updated
11/30/2021
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