| Johnna M. Dickenson-ortega Llc | |
|
3704 Walking Sky Rd Edmond OK 73013-6842 | |
| (405) 788-7283 | |
| (405) 513-5032 |
| Full Name | Johnna M. Dickenson-ortega Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3704 Walking Sky Rd, Edmond, Oklahoma |
| Authorized Official Name and Position | Johnna M Ortega (OWNER) |
| Authorized Official Contact | 4057887283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnna M. Dickenson-ortega Llc 3704 Walking Sky Rd Edmond OK 73013-6842 Ph: (405) 788-7283 | Johnna M. Dickenson-ortega Llc 3704 Walking Sky Rd Edmond OK 73013-6842 Ph: (405) 788-7283 |
| NPI Number | 1679850424 |
|---|---|
| Provider Enumeration Date | 11/08/2011 |
| Last Update Date | 11/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679850424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3500 (Oklahoma) | Primary |
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