Individual
GENTRY KYLER JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1624 CIMARRON PLZ, STILLWATER, OK 74075-3467
(918) 734-3481
Mailing address
301 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-7701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/28/2017
Last updated
09/20/2021
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