Individual
JEFFREY EBBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2530 S COMMERCE ST BLDG B, ARDMORE, OK 73401-5519
(580) 223-5636
Mailing address
2530 S COMMERCE ST BLDG B, ARDMORE, OK 73401-5519
(580) 223-5636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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