Eatherly, Joseph Robert

Eatherly, Joseph Robert is an sole proprietor health care provider with primary practice located at 108 W Main St , Tishomingo OK 73460-1723. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Eatherly, Joseph Robert can be contacted via phone (580) 371-3019.

Contact Information

Primary practice address
108 W Main St Tishomingo OK 73460-1723
Phone: (580) 371-3019
Fax: (580) 371-0138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5004 Oklahoma
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1720303134
LBN Legal business name Eatherly, Joseph Robert
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2010
Last updated Aug 16th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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