Individual
FRANCIS PAUL JETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
B21394
IN
1041C0700X
Clinical Social Worker
Primary
2469
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417900341
US ARMY
—
Enumeration date
05/19/2006
Last updated
07/21/2022
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