Christopher Jayne
Psychologist, Counseling in Stillwater, OK. Individual provider (NPI-1).
NPI number1306200977
StatusActive
Last updated in NPPESMay 23, 2024
Details
- NPI
- 1306200977
- Entity type
- Individual (NPI-1)
- Name
- Christopher Jayne
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2016
- Certification date
- May 23, 2024
- Last updated
- May 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | PSY-005721 | AZ | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
1209 S Main StStillwater, OK 74074-5846
Phone 405-564-3408
Mailing address
3601 S 6th AveTucson, AZ 85723-0001
Phone 405-269-4853
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