Tammie Deann Jones, LPC

Individual provider Active NPI Professional Counselor · Colony, OK

NPI 1942590237 · NPPES record last updated Apr 8, 2011

Key facts

NPI
1942590237
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2810 (OK)
Practice address
RR 1 Box 10
Colony, OK 73021-9710
Phone
(405) 929-7315
NPI assigned
Apr 8, 2011
Sex
Female
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

LicenseStateTypeSpecialty
2810OKMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2810 OK Yes

Addresses

Primary practice location

RR 1 Box 10
Colony, OK 73021-9710

Mailing address

RR 1 Box 10
Colony, OK 73021-9710
Phone (405) 929-7315

Other providers in Colony, OK

All providers in Colony, OK · Professional Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.