Staci R Johnston, BA

NPI #1144547704 in Ada, Oklahoma

Provider Information

NPI Number
1144547704
Entity Type
Individual
Name
Staci R Johnston, BA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Credential
BA
Enumeration Date
Apr 22, 2010
Last Updated
Apr 22, 2010

Practice Location

Address
1705 CRADDUCK RD
City
Ada
ZIP Code
74820-9491
Phone
(580) 310-9000

Specialties & Taxonomy Codes

Specialty
Counselor

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