Individual
JAMES H JEFFERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3621 N KELLEY AVE STE 100, OKLAHOMA CITY, OK 73111-4520
(405) 524-5525
(405) 524-5538
Mailing address
3621 N KELLEY AVE STE 100, OKLAHOMA CITY, OK 73111-4520
(405) 524-5525
(405) 524-5538
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
175T00000X
Peer Specialist
—
OK
Other
Enumeration date
06/27/2023
Last updated
07/06/2023
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