Individual
MS. RAYGE LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BASW
Contact information
Practice address
900 E MAIN ST BLDG 54W, NORMAN, OK 73071-5305
(405) 573-6624
(405) 573-6656
Mailing address
PO BOX 151, NORMAN, OK 73070-0151
(405) 573-6624
(405) 573-6656
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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