Individual
MRS. MUSU EVELIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2280 SCISSORTAIL LANDING DR, EDMOND, OK 73012-3206
(405) 326-6759
Mailing address
2280 SCISSORTAIL LANDING DR, EDMOND, OK 73012-3206
(405) 326-6759
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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