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Individual

JEFFREY NEMETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
210 JT STITES BLVD, SALLISAW, OK 74955
(918) 775-7787
(918) 742-5545
Mailing address
210 JT STITES BLVD, SALLISAW, OK 74955
(918) 775-7787
(918) 742-5545

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1312
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200569730A
OK
Enumeration date
01/22/2015
Last updated
05/12/2023
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