Individual
MR. JONATHAN DAVID ANGIERI I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 S 3RD ST, BROKEN ARROW, OK 74012-5543
(918) 899-0390
Mailing address
1100 S 3RD ST, BROKEN ARROW, OK 74012-5543
(918) 899-0390
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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