Individual
MARY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
323 W 6TH STREET, OKMULGEE, OK 74447
(918) 765-9250
Mailing address
323 W 6TH STREET, OKMULGEE, OK 74447
(918) 765-9250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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