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Elmira Louise Johnson
Peer Specialist in Pauls Valley, Oklahoma
NPI 1326697459

Elmira Louise Johnson is a Peer Specialist based in Pauls Valley, OK. Elmira Louise Johnson practices in Pauls Valley, OK. The NPI Number for Elmira Louise Johnson is 1326697459 and holds a License No. (Oklahoma).

The current practice location address for Elmira Louise Johnson is 109 S Willow St, Pauls Valley, OK and can be reached out via phone at 405-238-7311 and via fax at 405-238-3530.

Location: 109 S Willow St, Pauls Valley, OK, 73075-0635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326697459
Provider Name
Elmira Louise Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
109 S Willow St, Pauls Valley, OK, 73075-0635
Phone Number
405-238-7311
Fax Number
405-238-3530
Provider Enumeration Date
09/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
109 S Willow St
City
Pauls Valley
State
Oklahoma
Zip
73075-3833
Phone Number
405-238-7311
Fax Number
405-238-3530
person
Provider Business Mailing Address Details
Address
109 S Willow St
City
Pauls Valley
State
Oklahoma
Zip
73075-3833
Phone Number
405-238-7311
Fax Number
405-238-3530
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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