Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAKE DEWAYNE AVERY
Active Sole ProprietorMental Health Counselor · TULSA, OK
Registration Details
- NPI Number
- 1992146260
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2013 (12.794114499925 yrs)
- Last Updated
- Jul 15, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
6202 S LEWIS AVE STE MTULSA, OK, 741361064Browse OK providers · Browse ZIP 74136
- Phone
- 9189494086
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in TULSA, OK
| Name | Credential | NPI |
|---|---|---|
| MRS. ALISA K LITTLE-LONGNECKER | LPC | 1619945201 |
| MRS. NIANI Y CHRISTIAN-WARE | LPC | 1083663959 |
| MR. BRIAN K ZUMALT | MS, LPC | 1295784163 |
| MR. RAYMOND VIRGIL SIMMS | LPC | 1619927951 |
| MS. BRENDA LEE SMITH | LPC | 1164472403 |
| MS. SALLIE L TRECEK | LPC | 1538119417 |
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.