Individual
MRS. AMY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
821 W JEFFERSON ST, SILOAM SPRINGS, AR 72761-3526
(479) 427-6216
(479) 427-6216
Mailing address
RR 6 BOX 5, STILWELL, OK 74960-9501
(918) 797-7786
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/16/2013
Last updated
02/12/2018
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