Individual
MR. ANDRE BYRON JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER REC SUP SPEC
Contact information
Practice address
1329 NE 55TH ST, OKLAHOMA CITY, OK 73111-6705
(405) 427-0511
Mailing address
1329 NE 55TH ST, OKLAHOMA CITY, OK 73111-6705
(405) 427-0511
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245
OKLAHOMA DEPARTMENT OF MENTAL HEALTH
—
Enumeration date
06/05/2012
Last updated
08/31/2022
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