Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MANDY JEROME
ActiveMANDY JEROME is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CANADIAN, Oklahoma. NPI 1821524109 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · CANADIAN, OK
Registration Details
- NPI Number
- 1821524109
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 5, 2017 (9.2638976341426 yrs)
- Last Updated
- May 5, 2017
Practice Information
- Address
-
69 ARROWHEAD LOOPCANADIAN, OK, 744255012Browse OK providers · Browse ZIP 74425
- Phone
- 9183395800
- Fax
- 9183395833
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in CANADIAN, OK
| Name | Credential | NPI |
|---|---|---|
| MRS. VICKI MAE FLUCARD SMITH | LADC, CBHCM | 1952611261 |
| MRS. VICKI J WATT | — | 1982909651 |
| CRYSTAL LAMB | — | 1457887739 |
| HENI AZZAM | — | 1316661408 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.