Individual
SHERRI L JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
3033 N WALNUT AVE, OKLAHOMA CITY, OK 73105-2832
(405) 230-1105
Mailing address
3033 N WALNUT AVE, OKLAHOMA CITY, OK 73105-2832
(405) 232-2852
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008055440C
—
OK
Enumeration date
09/24/2008
Last updated
09/24/2008
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