Individual provider · Type 1 NPI
Johnathon Heath Robertson I
Addiction (Substance Use Disorder) Counselor · Tahlequah, OK
NPI number
1245183631
Active
Practice location
716 Butler St
Tahlequah, OK 74464-2400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1245183631
Johnathon Heath Robertson I's National Provider Identifier is 1245183631, issued on Feb 17, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tahlequah, OK. The record was last updated on Feb 17, 2026.