Jacqueline Johnson
NPI #1033604491 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1033604491
- Entity Type
- Individual
- Name
- Jacqueline Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jun 28, 2018
- Last Updated
- Jun 28, 2018
Practice Location
- Address
- 3621 N KELLEY AVE STE 100
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73111-4520
- Phone
- (405) 524-5525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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