JAKE DEWAYNE AVERY

TULSA, OK
NPI1992146260
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-07-15
Last Update Date2013-07-15
Business Address
Mr. JAKE DEWAYNE AVERY
6202 S LEWIS AVE STE M
TULSA, OK 74136-1064
Phone number: 918-949-4086
Mailing Address
Mr. JAKE DEWAYNE AVERY
18544 S 344TH WEST AVE
BRISTOW, OK 74010-2173
Phone number: 918-671-0758
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