Individual
MR. JASON FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
804 S BROADWAY ST, POTEAU, OK 74953-3834
(918) 647-9629
Mailing address
104106 STATE HIGHWAY 64B, MULDROW, OK 74948-7315
(918) 315-9890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
10/28/2020
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