Byron Lee Johnson, PRSS

NPI #1629718887 in Ada, Oklahoma

Provider Information

NPI Number: 1629718887
Entity Type: Individual
Name: Byron Lee Johnson, PRSS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: PRSS
Enumeration Date: Mar 29, 2022
Last Updated: Mar 29, 2022

Practice Location

Address: 3115 ARLINGTON ST
City: Ada
State: Oklahoma
ZIP Code: 74820-3085
Phone: (580) 332-6345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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