| Organization Name: | NUTRITION COUNSELING CLINIC |
| NPI Number: | 1124302302 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATSY ANN JOHNSON (ADMINISTRATIVE COORDINATOR) |
| Mailing Address: | 1200 N Stonewall Ave Ahb 1082 Oklahoma City |
| State: | OK US |
| Postal Code: | 731171215 |
| Phone Number: | 4052712866 |
| Fax Number: | 4052713360 |
| NPI Enumeration Date: | 10/05/2011 |
| NPI Last Update Date: | 10/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |