Ronnie E Jestes, C.A.D.C
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Pawnee, OK
NPI 1104042563 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104042563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 65 (OK)
- Practice address
- 600 Denver St
Pawnee, OK 74058-3522 - Phone
- (918) 762-3686
- Fax
- (915) 762-2617
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Community Action Program, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 65 | OK | Yes |
Addresses
Primary practice location
600 Denver St
Pawnee, OK 74058-3522
Mailing address
45470 S 349 Rd
Pawnee, OK 74058-1060
Phone (918) 762-3851
Other providers in Pawnee, OK
- Marlon Houston
- Bailey Reann Huckeby
- Heather Hughes
- Kerri Jacobs
- Hazel James
- Brandi Dawn Johnson
- Brenna Lee Jones
- Eva L Jones
- Henry John Kaehler Jr.
- Michelle Dawn Kimmel
All providers in Pawnee, OK · Addiction (Substance Use Disorder) Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.