Individual
TONI JANIA JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N 5TH ST, MCALESTER, OK 74501-5084
(918) 420-5343
Mailing address
323 W 6TH ST, OKMULGEE, OK 74447-5019
(918) 420-5343
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
CMHC-561
OK
Other
Enumeration date
07/06/2021
Last updated
07/13/2021
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