Jonathan Paul Cauthen
Individual provider Active NPI Pastoral Counselor · Poteau, OK
NPI 1295039600 · NPPES record last updated Dec 28, 2010
Key facts
- NPI
- 1295039600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pastoral Counselor 101YP1600X
- License
- MC-04-19 (OK)
- Practice address
- 900 Broadway
Poteau, OK 74953 - Phone
- (918) 839-7797
- NPI assigned
- Dec 28, 2010
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC-04-19 | OK | MD | Pastoral Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | MC-04-19 | OK | Yes |
Addresses
Primary practice location
900 Broadway
Poteau, OK 74953
Mailing address
PO Box 354
40938 Old US Highway 59
Howe, OK 74940
Phone (918) 839-7797
Other providers in Poteau, OK
- Dennis J Carter
- Jason Daniel Carter
- Kaitlin R Carter
- Kathy M Carter
- Leslie Leann Caughman/Fuller
- Cavanal Counseling
- Chasity Lea Chance
- Calvin Chapman
- Sheyenne Cheek
- Cherry Tree Counseling PLLC
All providers in Poteau, OK · Pastoral 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 Dec 28, 2010. 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.