Willow Johnston is a Peer Specialist based in Rose, OK. Willow Johnston practices in Pryor, OK. The NPI Number for Willow Johnston is 1821856097 and holds a License No. (Oklahoma).
The current practice location address for Willow Johnston is 109 N Fairland St, Pryor, OK and can be reached out via phone at 479-220-5002.
Location: 109 N Fairland St, Pryor, OK, 74364
Provider Profile Details
NPI Number
1821856097
Provider Name
Willow Johnston
Credential
Provider Entity Type
Individual
Gender
Female
Address
109 N Fairland St, Pryor, OK, 74364
Phone Number
479-220-5002
Fax Number
Provider Enumeration Date
03/11/2024
Last Update Date
04/14/2024
Provider Business Practice Location Address Details
Address
109 N Fairland St
City
State
Zip
74361-4205
Phone Number
479-220-5002
Fax Number
Provider Business Mailing Address Details
Address
109 N Fairland St
City
State
Zip
74361-4205
Phone Number
479-220-5002
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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