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Mandy Jerome
Addiction (Substance Use Disorder) Counselor in Canadian, Oklahoma
NPI 1821524109

Mandy Jerome is an Addiction (Substance Use Disorder) Counselor based in Canadian, OK and is specialized in Addiction (Substance Use Disorder). Mandy Jerome practices in Canadian, OK. The NPI Number for Mandy Jerome is 1821524109 and holds a License No. (Oklahoma).

The current practice location address for Mandy Jerome is 69 Arrowhead Loop, Canadian, OK and can be reached out via phone at 918-339-5800 and via fax at 918-339-5833.

Location: 69 Arrowhead Loop, Canadian, OK, 74425-5012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821524109
Provider Name
Mandy Jerome
Credential
Provider Entity Type
Individual
Gender
Female
Address
69 Arrowhead Loop, Canadian, OK, 74425-5012
Phone Number
918-339-5800
Fax Number
918-339-5833
Provider Enumeration Date
05/05/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
69 Arrowhead Loop
City
Canadian
State
Oklahoma
Zip
74425-5012
Phone Number
918-339-5800
Fax Number
918-339-5833
person
Provider Business Mailing Address Details
Address
69 Arrowhead Loop
City
Canadian
State
Oklahoma
Zip
74425-5012
Phone Number
918-339-5800
Fax Number
918-339-5833
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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