Individual provider · Type 1 NPI

Keneise Johnson, BA

Professional Counselor · Bethany, OK

NPI number 1508281049 Active

Practice location

1725 N Gleason Ave
Bethany, OK 73008-6149

Call (405) 401-2824 Map

Mailing address

1725 N. Gleason Ave
Bethany, OK 73008

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1508281049

Keneise Johnson, BA's National Provider Identifier is 1508281049, issued on Feb 20, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bethany, OK. The record was last updated on Feb 20, 2014.