Individual
JENNIFER D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1624 CIMARRON PLZ, STILLWATER, OK 74075-3467
(405) 372-2202
(405) 372-2237
Mailing address
1624 CIMARRON PLZ, STILLWATER, OK 74075-3467
(405) 372-2202
(405) 372-2237
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10935
OK
101YP2500X
Professional Counselor
2020004767
MO
Other
Enumeration date
02/17/2020
Last updated
10/28/2022
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