J Michael Johnson
J Michael Johnson is a Mental Health Clinic/Center (Including Community Mental Health Center) in Broken Arrow, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2548 E Kenosha StBroken Arrow, OK 74014-6712
Phone: (918) 355-0993
Fax: (918) 355-0995
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Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1811713043 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 3, 2024 |
| Last updated in NPPES | December 3, 2024 |
| Certification date | December 3, 2024 |
| Mailing address | 2548 E Kenosha St, Broken Arrow, OK 74014-6712 |
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2548 E Kenosha St, Broken Arrow, OK 74014-6712 · (918) 355-0993
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2548 E Kenosha St, Broken Arrow, OK 74014-6712 · (918) 355-0993