Jonathan David Angieri I
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Broken Arrow, OK
NPI 1245790880 · NPPES record last updated Mar 20, 2019
Key facts
- NPI
- 1245790880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1100 S 3Rd St
Broken Arrow, OK 74012-5543 - Phone
- (918) 899-0390
- NPI assigned
- Mar 20, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1100 S 3Rd St
Broken Arrow, OK 74012-5543
Mailing address
1100 S 3Rd St
Broken Arrow, OK 74012-5543
Phone (918) 899-0390
Other providers in Broken Arrow, OK
- Kirsten Anderson
- Traci Kane Anderson
- William Robert Anderson Jr.
- Ginger Andresen
- Becky Andrews
- Anji Brassfield O.D. P.C.
- Gaurangi Manek Anklesaria
- Heather Ranee Anthony
- Lisa Anton
- Apex Hormones and Wellness, LLC
All providers in Broken Arrow, 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 Mar 20, 2019. 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.