JOSEPH ROBERT EATHERLY

TISHOMINGO, OK
NPI1720303134
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: OK  5004)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2010-03-30
Last Update Date2017-08-16
Business Address
MR. JOSEPH ROBERT EATHERLY LPC
108 W MAIN ST
TISHOMINGO, OK 73460-1723
Phone number: 580-371-3019
Mailing Address
MR. JOSEPH ROBERT EATHERLY LPC
49500 CR E 1600
STRATFORD, OK 74872
Phone number: 580-320-5633
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