Individual provider · Type 1 NPI
Jonathan David Angieri I
Addiction (Substance Use Disorder) Counselor · Broken Arrow, OK
NPI number
1245790880
Active
Practice location
1100 S 3rd St
Broken Arrow, OK 74012-5543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1245790880
Jonathan David Angieri I's National Provider Identifier is 1245790880, issued on Mar 20, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Broken Arrow, OK. The record was last updated on Mar 20, 2019.