Individual
MR. JONATHAN HINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 S BROADWAY ST, MOORE, OK 73160-5212
(319) 961-5921
Mailing address
100 S BROADWAY ST, MOORE, OK 73160-5212
(319) 961-5921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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