Individual provider · Type 1 NPI
Johnny Dale Dority I, BHRS
Mental Health Counselor · Sallisaw, OK
NPI number
1497005755
Active
Practice location
907 S Walnut St
Sallisaw, OK 74955-6841
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1497005755
Johnny Dale Dority I, BHRS's National Provider Identifier is 1497005755, issued on Sep 14, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sallisaw, OK. The record was last updated on Sep 14, 2012.