Individual
CORY JEANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REVEREND
Contact information
Practice address
1219 W DUPONT ST, CLAREMORE, OK 74017-5318
(918) 341-9400
Mailing address
1023 N MILLER DR, CLAREMORE, OK 74017-6622
(918) 833-1939
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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