Individual
JESUS ERNESTO LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. ED.
Contact information
Practice address
420 SW 10TH ST, OKLAHOMA CITY, OK 73109-5610
(405) 236-0701
(405) 236-0773
Mailing address
420 SW 10TH ST, OKLAHOMA CITY, OK 73109-5610
(405) 236-0701
(405) 236-0773
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
UNDER SUPERVISION
OK
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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