Individual
MR. KEVIN JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT, LADC
Contact information
Practice address
26 FATHER JOE MURPHY DR, SHAWNEE, OK 74801-8663
(405) 214-5101
(405) 878-4690
Mailing address
PO BOX 518, SHAWNEE, OK 74802-0518
(405) 214-5101
(405) 878-4690
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
242
OK
101YM0800X
Mental Health Counselor
Primary
776
OK
Other
Enumeration date
03/05/2007
Last updated
02/27/2012
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