Individual
JASMINE QUINETTE THOMAS-ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3954 N KICKAPOO AVE STE 1-3, SHAWNEE, OK 74804-1698
(405) 857-8280
Mailing address
3954 N KICKAPOO AVE STE 1-3, SHAWNEE, OK 74804-1698
(405) 857-8280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-24-72655
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891884110
—
OK
Enumeration date
07/19/2018
Last updated
05/09/2024
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