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Search › Oklahoma › 101Y00000X

Jeffery Henderson, BA

NPI 1801101142 · on the registry since 2010 · sole proprietor

Practice

Address
116 Se Ave N
Idabel, OK 74745
Phone
(580) 286-6671
Fax
(580) 286-5747
Organisation at this address
Kiamchi Youth Services Inc
Providence Service Corporation Of Oklahoma
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Male
Record last updated
2010-08-11

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