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Jonathan Wyatt

NPI 1710637947 · on the registry since 2022

Practice

Address
2548 E Kenosha St
Broken Arrow, OK 74014
Phone
(918) 355-0993
Organisation at this address
Creoks Mental Health Services
Creoks Mental Health Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
92

Registry record

Primary taxonomy
Case Manager/Care Coordinator
171M00000X
Sex
Male
Record last updated
2023-12-18
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma