Jguadalupe Salgado Andrade, B.S.
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Okemah, OK
NPI 1306138359 · NPPES record last updated May 17, 2011
Key facts
- NPI
- 1306138359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 209 W Broadway St
Okemah, OK 74859-2618 - Phone
- (918) 623-2922
- NPI assigned
- May 10, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
209 W Broadway St
Okemah, OK 74859-2618
Mailing address
37084 Highway 19
Pauls Valley, OK 73075-8678
Phone (405) 207-0591
Other providers in Okemah, OK
- Thomas F Algeo
- Tracy Leigh Baker
- Summer Leigh Barnes
- Jason C. Bean
- Meggin Elizabeth Bean
- Delaina Berryhill
All providers in Okemah, 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 May 17, 2011. 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.