Individual
MR. JACK EDWARD MEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
122 S. BROADWAY AVE, ADA, OK 74820
(580) 332-8773
(580) 332-8774
Mailing address
122 S. BROADWAY AVE, ADA, OK 74820
(580) 332-8773
(580) 332-8774
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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