Individual
JASON HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-2491
(918) 268-2148
Mailing address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-2491
(918) 268-2148
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/01/2007
Last updated
09/21/2009
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