Individual
MR. JONATHAN PAUL CAUTHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 BROADWAY, POTEAU, OK 74953
(918) 839-7797
Mailing address
PO BOX 354, 40938 OLD US HIGHWAY 59, HOWE, OK 74940
(918) 839-7797
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
MC-04-19
OK
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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