Individual
MRS. JONATHAN R TRIPLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4801 N CLASSEN BLVD, STE 128, OKLAHOMA CITY, OK 73118-4627
(405) 879-0482
(405) 879-0484
Mailing address
4801 N CLASSEN BLVD, STE 128, OKLAHOMA CITY, OK 73118-4627
(405) 879-0482
(405) 879-0484
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200079250A
—
OK
Enumeration date
11/17/2008
Last updated
11/17/2008
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