Individual
NICOLE SHARAE COOK - JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6701 W WILSHIRE BLVD, OKLAHOMA CITY, OK 73132-5492
(405) 535-8838
Mailing address
5608 NW 112TH ST, OKLAHOMA CITY, OK 73162-3510
(405) 367-7306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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