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NPI Code Detail

MEDICARE: MS. JO L. SOSKE M.ED. M.H.R.

MEDICARE:  MS. JO L. SOSKE  M.ED.  M.H.R.
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
1101Y00000XCounselor1181OK
2101Y00000XCounselor63681TX
3101YA0400XAddiction (Substance Use Disorder) Counselor11OK
4101YA0400XAddiction (Substance Use Disorder) Counselor10650TX

General Provider Information

NPI Number : 1902057664
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JO L. SOSKE M.ED. M.H.R.
Provider Business Mailing Address
First Line : 2005 CHURCHILL WAY
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-1151
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2005 CHURCHILL WAY
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-1151
Country : US
Telephone Number : 409-599-4514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2008
Last Update Date : 12/28/2015

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Directions to “ MS. JO L. SOSKE M.ED. M.H.R.” Practice Location

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