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Mrs. Gwendolyn Johnson, PHD
Community/Behavioral Health Agency in Okemah, Oklahoma
NPI 1245507946

Gwendolyn Johnson is a Community/Behavioral Health Agency based in Edmond, OK. Gwendolyn Johnson practices in Okemah, OK and has the professional credentials of PHD. The NPI Number for Gwendolyn Johnson is 1245507946 and holds a License No. (Oklahoma).

The current practice location address for Gwendolyn Johnson is 209 W Broadway St, Okemah, OK and can be reached out via phone at 918-623-2922 and via fax at 918-756-2126.

Location: 209 W Broadway St, Okemah, OK, 73034-8229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245507946
Provider Name
Gwendolyn Johnson
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
209 W Broadway St, Okemah, OK, 73034-8229
Phone Number
918-623-2922
Fax Number
918-756-2126
Provider Enumeration Date
11/23/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BGJ2011 05 OK
institution
Provider Business Practice Location Address Details
Address
209 W Broadway St
City
Okemah
State
Oklahoma
Zip
74859-2618
Phone Number
918-623-2922
Fax Number
918-756-2126
person
Provider Business Mailing Address Details
Address
209 W Broadway St
City
Okemah
State
Oklahoma
Zip
74859-2618
Phone Number
918-623-2922
Fax Number
918-756-2126
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Oklahoma)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(Oklahoma)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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