Individual
JEREMY CLINT HONNOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 N CHOCTAW AVE, EL RENO, OK 73036-2624
(405) 262-3209
Mailing address
300 N PEBBLE CREEK TER APT 203, MUSTANG, OK 73064-4174
(405) 550-8736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/16/2007
Last updated
09/24/2007
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