Individual
JARVIS L. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1803 S WOOD DR, OKMULGEE, OK 74447-6825
(918) 756-9187
Mailing address
1609 W GARY ST, BROKEN ARROW, OK 74012-6825
(918) 406-9472
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/24/2013
Last updated
02/24/2013
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