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Individual
JEANIE JONES
Active
Individual
JEANIE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBP, LADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0114
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
371
OK
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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