Individual provider · Type 1 NPI

Kenneth Johnson

Professional Counselor · Tahlequah, OK

NPI number 1275738692 Active

Practice location

1400 Hensley Dr
Tahlequah, OK 74464-5221

Call (918) 207-3000 Map

Fax (918) 207-3064

Mailing address

PO Box 558
Tahlequah, OK 74465-0558

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2920 (OK)

Professional Counselor: Definition to come...

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About NPI 1275738692

Kenneth Johnson's National Provider Identifier is 1275738692, issued on Jun 16, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tahlequah, OK. The record was last updated on Jul 8, 2007.