person
Mr. Johnny Dale Dority I, BHRS
Mental Health Counselor in Sallisaw, Oklahoma
NPI 1497005755

Johnny Dale Dority I is a Mental Health Counselor based in Sallisaw, OK and is specialized in Mental Health. Johnny Dale Dority I practices in Sallisaw, OK and has the professional credentials of BHRS. The NPI Number for Johnny Dale Dority I is 1497005755 and holds a License No. (Oklahoma).

The current practice location address for Johnny Dale Dority I is 907 S Walnut St, Sallisaw, OK and can be reached out via phone at 918-708-6169.

Location: 907 S Walnut St, Sallisaw, OK, 74955-6841
person
Provider Profile Details
NPI Number
1497005755
Provider Name
Johnny Dale Dority I
Credential
BHRS
Provider Entity Type
Individual
Gender
Male
Address
907 S Walnut St, Sallisaw, OK, 74955-6841
Phone Number
918-708-6169
Fax Number
Provider Enumeration Date
09/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
907 S Walnut St
City
State
Zip
74955-6841
Phone Number
918-708-6169
Fax Number
person
Provider Business Mailing Address Details
Address
907 S Walnut St
City
State
Zip
74955-6841
Phone Number
918-708-6169
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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