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NPI Code Detail

MEDICARE: SUSAN JONES MED-COUNSELING

MEDICARE: SUSAN JONES MED-COUNSELING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1144085580
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN JONES MED-COUNSELING
Provider Business Mailing Address
First Line : 1224 LEMON RANCH RD
Second Line :
City : EDMOND
State : OK
Zip : 73034-5202
Country : US
Telephone Number : 405-826-2222
Fax Number :
Provider Business Practice Location Address
First Line : 6907 NW 122ND ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73142-3903
Country : US
Telephone Number : 405-623-7163
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2024
Last Update Date : 02/15/2024

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