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Organization

FOCUS MENTAL HEALTH SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHNIE FREDMAN LPC (OWNER)
(405) 214-0016
Entity
Organization

Contact information

Practice address
1127 N KICKAPOO AVE, SHAWNEE, OK 74801-4845
(405) 214-0116
(877) 334-8552
Mailing address
33207 45TH ST, SHAWNEE, OK 74804-3423
(405) 214-0116
(877) 334-8552

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4469
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1427388313
NPI
OK
Enumeration date
04/13/2012
Last updated
05/19/2016
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