Individual
JARED GROB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
13707 FAIRHILL AVE, EDMOND, OK 73013-1946
(405) 607-4041
(405) 463-0090
Mailing address
13707 FAIRHILL AVE, EDMOND, OK 73013-1946
(405) 607-4041
(405) 463-0090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCCANDIDATE11561
OK
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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