Tabitha Johnson
Social Worker, Clinical in Tulsa, OK. Individual provider (NPI-1).
NPI number1982158804
StatusActive
Last updated in NPPESSep 20, 2019
Details
- NPI
- 1982158804
- Entity type
- Individual (NPI-1)
- Name
- Tabitha Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2016
- Last updated
- Sep 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 5707 | OK | Yes |
| 1041C0700X | Social Worker, Clinical | 149017062 | IL |
Practice location
5840 S Memorial Dr Ste 3003Tulsa, OK 74145-9052
Phone 918-724-2920
Mailing address
1813 S Kingston AveTulsa, OK 74112-7123
Phone 918-724-2920
Other practice locations
650 S Peoria Ave
Tulsa, OK 74120-4429
Tulsa, OK 74120-4429
Phone 918-587-9471 · Fax 918-560-1399
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