Organization
JERRY STANKEWITZ M.ED., LPC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY STANKEWITZ M.ED., LPC (LICENSED PROFESSIONAL COUNSELOR)
(918) 647-1642
Entity
Organization
Contact information
Practice address
1301 S BROADWAY AVE STE 2, POTEAU, OK 74953-5268
(918) 839-5105
Mailing address
28894 HUCKLEBERRY LN, POTEAU, OK 74953-8724
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6081
OK
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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