Gabriel Blake Johnson
Gabriel Blake Johnson is a Peer Specialist in Tahlequah, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2023
Practice location Address checks out
214 N Bliss AveTahlequah, OK 74464-2520
Phone: (539) 234-3785
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (OK) |
|---|
Record details
| NPI number | 1962271155 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 28, 2023 |
| Last updated in NPPES | December 28, 2023 |
| Certification date | December 28, 2023 |
| Mailing address | 214 N Bliss Ave, Tahlequah, OK 74464-2520 |
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