DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MISS MALISSA M JOHNSON CADC INTENT

MEDICARE: MISS MALISSA M JOHNSON CADC INTENT
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
1101YA0400XAddiction (Substance Use Disorder) CounselorOK
2101YM0800XMental Health CounselorOK

General Provider Information

NPI Number : 1588795785
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MALISSA M JOHNSON CADC INTENT
Provider Business Mailing Address
First Line : 2620 NW 115TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-6611
Country : US
Telephone Number : 405-528-8686
Fax Number : 405-528-8692
Provider Business Practice Location Address
First Line : 2701 N OKLAHOMA AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73105-2724
Country : US
Telephone Number : 405-528-8686
Fax Number : 405-528-8692
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 09/11/2025

Similar Medicare Providers

1649309626 — COPE
Practice Location Address:
2701 N OKLAHOMA AVE
OKLAHOMA CITY, OK
73105-2724
Practice Phone: 405-528-8686
Practice Fax: 405-528-8692
1689704603 — MISS KRISTA LYNN BROOKE CADC UNDER SUPERVISI
Practice Location Address:
2701 N OKLAHOMA AVE
OKLAHOMA CITY, OK
73105-2724
Practice Phone: 405-528-8686
Practice Fax: 405-528-8692
1417087420 — MISS KAREN L TING LPC
Practice Location Address:
2701 N OKLAHOMA AVE
OKLAHOMA CITY, OK
73105-2724
Practice Phone: 405-528-8686
Practice Fax: 405-528-8692
1528198561 — MR. LAMONT RUDOLPH MALCOLM LADC, CBHCM
Practice Location Address:
2701 N OKLAHOMA AVE
OKLAHOMA CITY, OK
73105-2724
Practice Phone: 405-528-8686
Practice Fax: 405-528-8692
1699806877 — MISS ANN MARIE ALLEN LADC INTENT
Practice Location Address:
2701 N OKLAHOMA AVE
OKLAHOMA CITY, OK
73105-2724
Practice Phone: 405-528-8686
Practice Fax: 405-528-8692
1326179599 — MISS SANDE NICKEISHA SWABY LADC INTENT
Practice Location Address:
2701 N OKLAHOMA AVE
OKLAHOMA CITY, OK
73105-2724
Practice Phone: 405-552-8868
Practice Fax: 405-528-8692

Directions to “ MISS MALISSA M JOHNSON CADC INTENT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.