Individual
ERIC DAVID JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
7510 S 86TH EAST PL, TULSA, OK 74133-3113
(918) 850-0987
Mailing address
7510 S 86TH EAST PL, TULSA, OK 74133-3113
(918) 850-0987
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4874
OK
Other
Enumeration date
03/11/2009
Last updated
08/08/2013
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