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NPI Code Detail

MEDICARE: CHRIS D JOHNSTON LPC

MEDICARE: CHRIS D JOHNSTON LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2921OK

General Provider Information

NPI Number : 1962536482
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRIS D JOHNSTON LPC
Provider Business Mailing Address
First Line : 105 SE 45TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73129-3201
Country : US
Telephone Number : 405-634-4400
Fax Number : 405-634-4400
Provider Business Practice Location Address
First Line : 105 SE 45TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73129-3201
Country : US
Telephone Number : 405-634-4400
Fax Number : 405-634-4400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 07/08/2007

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Directions to “ CHRIS D JOHNSTON LPC” Practice Location

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