person
Mr. Quintrell Deshaun Johnson SR.
Addiction (Substance Use Disorder) Counselor in Oklahoma City, Oklahoma
NPI 1225325301

Quintrell Deshaun Johnson SR. is an Addiction (Substance Use Disorder) Counselor based in Oklahoma City, OK and is specialized in Addiction (Substance Use Disorder). Quintrell Deshaun Johnson SR. practices in Oklahoma City, OK. The NPI Number for Quintrell Deshaun Johnson SR. is 1225325301 and holds a License No. (Oklahoma).

The current practice location address for Quintrell Deshaun Johnson SR. is 3621 N Kelley Ave, Oklahoma City, OK and can be reached out via phone at 405-524-5525.

Location: 3621 N Kelley Ave, Oklahoma City, OK, 73112-6247
person
Provider Profile Details
NPI Number
1225325301
Provider Name
Quintrell Deshaun Johnson SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
3621 N Kelley Ave, Oklahoma City, OK, 73112-6247
Phone Number
405-524-5525
Fax Number
Provider Enumeration Date
07/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3621 N Kelley Ave
City
State
Zip
73111-4520
Phone Number
405-524-5525
Fax Number
person
Provider Business Mailing Address Details
Address
3621 N Kelley Ave
City
State
Zip
73111-4520
Phone Number
405-524-5525
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Oklahoma)
Definition
Definition to come...
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