Johanna Leigh Chancellor

NPI #1871099630 in Barnsdall, Oklahoma

Provider Information

NPI Number: 1871099630
Entity Type: Individual
Name: Johanna Leigh Chancellor
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Apr 2, 2018
Last Updated: Jun 5, 2018

Practice Location

Address: 401 W MAIN
City: Barnsdall
State: Oklahoma
ZIP Code: 74002-0000
Phone: (918) 847-3527

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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