person
Ms. Annjavetta D. Johnson, MED
Mental Health Counselor in Idabel, Oklahoma
NPI 1538480157

Annjavetta D. Johnson is a Mental Health Counselor based in Idabel, OK and is specialized in Mental Health. Annjavetta D. Johnson practices in Idabel, OK and has the professional credentials of MED. The NPI Number for Annjavetta D. Johnson is 1538480157 and holds a License No. (Oklahoma).

The current practice location address for Annjavetta D. Johnson is 2000 E Lincoln Rd, Idabel, OK and can be reached out via phone at 580-286-6639.

Location: 2000 E Lincoln Rd, Idabel, OK, 74745-7353
person
Provider Profile Details
NPI Number
1538480157
Provider Name
Annjavetta D. Johnson
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
2000 E Lincoln Rd, Idabel, OK, 74745-7353
Phone Number
580-286-6639
Fax Number
Provider Enumeration Date
06/17/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1538480157 05 OK
institution
Provider Business Practice Location Address Details
Address
2000 E Lincoln Rd
City
State
Zip
74745-7353
Phone Number
580-286-6639
Fax Number
person
Provider Business Mailing Address Details
Address
2000 E Lincoln Rd
City
State
Zip
74745-7353
Phone Number
580-286-6639
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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