Mr. Jake Dewayne Avery
Mr. Jake Dewayne Avery is a Mental Health Counselor in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
6202 S Lewis Ave Ste MTulsa, OK 74136-1064
Phone: (918) 949-4086
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1992146260 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 15, 2013 |
| Last updated in NPPES | July 15, 2013 |
| Mailing address | 18544 S 344th West Ave, Bristow, OK 74010-2173 |
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