Iisha Johnson, BHRS
NPI #1093076523 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1093076523
- Entity Type
- Individual
- Name
- Iisha Johnson, BHRS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Credential
- BHRS
- Enumeration Date
- May 31, 2012
- Last Updated
- May 31, 2012
Practice Location
- Address
- 4209 NW 23RD ST
- Address 2
- SUITE 100
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73107-2645
- Phone
- (405) 917-1709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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