Individual
JAIME KONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(844) 458-2100
Mailing address
6005 YOLANDA AVE, TARZANA, CA 91356-1421
(818) 996-1051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1516930823
CA
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
01/21/2025
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