Johnson, Malissa M

Johnson, Malissa M is an individual health care provider with primary practice located at 2701 N Oklahoma Ave , Oklahoma City OK 73105-2724. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Johnson, Malissa M can be contacted via phone (405) 528-8686.

Contact Information

Primary practice address
2701 N Oklahoma Ave Oklahoma City OK 73105-2724
Phone: (405) 528-8686
Fax: (405) 528-8692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oklahoma
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oklahoma

Profile Details

NPI number 1588795785
LBN Legal business name Johnson, Malissa M
Credentials CADC INTENT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 9th, 2007 - about 17 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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