Provider Demographics
NPI:1083946776
Name:TROSIN, JONI J (MA,BHRS)
Entity Type:Individual
Prefix:MRS
First Name:JONI
Middle Name:J
Last Name:TROSIN
Suffix:
Gender:F
Credentials:MA,BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7401 S BULLARD CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:TISHOMINGO
Mailing Address - State:OK
Mailing Address - Zip Code:73460-4013
Mailing Address - Country:US
Mailing Address - Phone:580-371-3799
Mailing Address - Fax:580-371-3776
Practice Address - Street 1:704 W MAIN ST
Practice Address - Street 2:
Practice Address - City:TISHOMINGO
Practice Address - State:OK
Practice Address - Zip Code:73460-1733
Practice Address - Country:US
Practice Address - Phone:580-371-3799
Practice Address - Fax:580-371-3776
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor