Jonathan Daniel Tedder

NPI #1750620621 in Blanchard, Oklahoma

Provider Information

NPI Number: 1750620621
Entity Type: Individual
Name: Jonathan Daniel Tedder
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Feb 12, 2013
Last Updated: Feb 12, 2013

Practice Location

Address: 407 NE 17TH ST
City: Blanchard
State: Oklahoma
ZIP Code: 73010-9486
Phone: (405) 208-9219

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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Organizations

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