Individual
MR. JOHN D JANTZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, ACSW
Contact information
Practice address
4045 NW 64TH ST STE 240, OKLAHOMA CITY, OK 73116-2625
(405) 840-8211
Mailing address
4045 NW 64TH ST STE 240, OKLAHOMA CITY, OK 73116-2625
(405) 840-8211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1706
OK
Other
Enumeration date
01/17/2007
Last updated
04/24/2020
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