Glenn Jones Jr.
Peer Specialist in Wagoner, OK. Individual provider (NPI-1).
NPI number1144977331
StatusActive
Last updated in NPPESAug 8, 2022
Details
- NPI
- 1144977331
- Entity type
- Individual (NPI-1)
- Name
- Glenn Jones Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2022
- Certification date
- Aug 8, 2022
- Last updated
- Aug 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | OK | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
109 S Harrill AveWagoner, OK 74467-5317
Phone 918-892-2681
Mailing address
109 S Harrill AveWagoner, OK 74467-5317
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All 42 Peer Specialist providers in Wagoner · All 366 providers in Wagoner
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