Doctor Name: | FRANCIS PAUL JETTE |
NPI Number: | 1417900341 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SOCIAL WORKER |
License Number: | B21394 |
Business Practice Address: | 4301 Mow-way Road Rach Asap Fort Sill, OK - 735036300 |
Business Phone Number: | 5804582647 |
Business Fax Number: | 5804582314 |
Mailing Address: | 2803 Nw 77th Street, LAWTON |
State: | OK |
Postal Code: | 735051220 |
Phone Number: | 5805364462 |
Fax Number: | 5804427950 |
NPI Enumeration Date: | 05/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | B21394 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |