Individual
JEFF PLUNKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1915 S ANDERSON RD, MIDWEST CITY, OK 73130-8447
(405) 249-4603
Mailing address
1915 S ANDERSON RD, MIDWEST CITY, OK 73130-8447
(405) 249-4603
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
01/13/2010
Last updated
01/03/2012
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