Provider Demographics
NPI:1346523917
Name:UGHANZE, JOHNNY (MHR, LPCC)
Entity Type:Individual
Prefix:MR
First Name:JOHNNY
Middle Name:
Last Name:UGHANZE
Suffix:
Gender:M
Credentials:MHR, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17005 APPLEBROOK DR.
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012
Mailing Address - Country:US
Mailing Address - Phone:405-642-1227
Mailing Address - Fax:
Practice Address - Street 1:17005 APPLEBROOK DR.
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012
Practice Address - Country:US
Practice Address - Phone:405-642-1227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor