Individual
JEREMIAH LADRONE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHR
Contact information
Practice address
2448 E 81ST STREET, SUITE 5125, TULSA, OK 74137-4213
(918) 270-1235
(800) 260-7966
Mailing address
10829 E 33RD CT, TULSA, OK 74146-1804
(918) 270-1235
(800) 260-7966
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
OK
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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