Individual
MR. RONNIE E JESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.A.D.C
Contact information
Practice address
600 DENVER ST, PAWNEE, OK 74058-3522
(918) 762-3686
(915) 762-2617
Mailing address
45470 S 349 RD, PAWNEE, OK 74058-1060
(918) 762-3851
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
65
OK
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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