Lareisha Johnson

NPI #1407271711 in Moore, Oklahoma

Provider Information

NPI Number
1407271711
Entity Type
Individual
Name
Lareisha Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Feb 24, 2014
Last Updated
Feb 24, 2014

Practice Location

Address
2436 N NOTTINGHAM WAY APT 79
City
Moore
ZIP Code
73160-1252
Phone
(405) 889-8702

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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