Individual
JOWAHN DENEL POTEAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 HOPPE BLVD., SUITE 4, ADA, OK 74820
(580) 272-5170
(580) 421-8772
Mailing address
1300 HOPPE BLVD., SUITE 1, ADA, OK 74820
(580) 436-7211
(580) 272-5757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/11/2010
Last updated
10/25/2018
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