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NPI Code Detail

MEDICARE: MR. JEFFREY ALAN FINE-THOMAS M.A.

MEDICARE:  MR. JEFFREY ALAN FINE-THOMAS  M.A.
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
1106H00000XMarriage & Family Therapist750OK

General Provider Information

NPI Number : 1205908886
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFFREY ALAN FINE-THOMAS M.A.
Provider Business Mailing Address
First Line : 916 NW 139TH STREET PKWY
Second Line :
City : EDMOND
State : OK
Zip : 73013-9525
Country : US
Telephone Number : 405-323-0923
Fax Number :
Provider Business Practice Location Address
First Line : 916 NW 139TH STREET PKWY
Second Line :
City : EDMOND
State : OK
Zip : 73013-9525
Country : US
Telephone Number : 405-323-0923
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 01/27/2025

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Directions to “ MR. JEFFREY ALAN FINE-THOMAS M.A.” Practice Location

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