Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | OK |
NPI | 1013232727 |
---|---|
Provider Name | Veronica Ann Jones Porter |
First Address | Tulsa, OK 74129-5121 |
Second Address | Tulsa, OK 74129-5121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2010 |
Last Update Date | 06/04/2010 |