Provider Demographics
NPI:1063960094
Name:MAJKA, JOANNA (LPC)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:MAJKA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5550 S LEWIS AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-7118
Mailing Address - Country:US
Mailing Address - Phone:918-260-2044
Mailing Address - Fax:
Practice Address - Street 1:5550 S LEWIS AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-7118
Practice Address - Country:US
Practice Address - Phone:918-260-2044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5965101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional