| Doctor Name: | MS. ANNE JOHNSON |
| NPI Number: | 1053490821 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 3655 |
| Business Practice Address: | 425 Fairview Ave Ponca City, OK - 746011902 |
| Business Phone Number: | 5807653900 |
| Business Fax Number: | |
| Mailing Address: | 2813 Green Meadow Dr, PONCA CITY |
| State: | OK |
| Postal Code: | 746043211 |
| Phone Number: | 5807180334 |
| Fax Number: | |
| NPI Enumeration Date: | 11/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 3655 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |