Individual
MR. JOHNATHAN B HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1175 S. ASPEN AVE, SUITE I, BROKEN ARROW, OK 74012
(918) 289-2033
(918) 806-6083
Mailing address
1175 S. ASPEN AVE, SUITE I, BROKEN ARROW, OK 74012
(918) 289-2033
(918) 806-6083
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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