John, Lisa

John, Lisa is an individual health care provider with primary practice located at 124 S Broadway Ave Ste 200 , Ada OK 74820-5825. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. John, Lisa can be contacted via phone (580) 332-3001.

Contact Information

Primary practice address
124 S Broadway Ave Ste 200 Ada OK 74820-5825
Phone: (580) 332-3001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1710280698
LBN Legal business name John, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2010
Last updated Sep 24th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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