Individual
JONATHAN NUBINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
8504 NW 107TH ST, OKLAHOMA CITY, OK 73162-1218
(405) 821-6983
Mailing address
8504 NW 107TH ST, OKLAHOMA CITY, OK 73162-1218
(405) 821-6983
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03141981
—
OK
Enumeration date
01/09/2009
Last updated
01/09/2009
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