Provider Demographics
NPI:1417242595
Name:ALLEN, JAROD D
Entity Type:Individual
Prefix:MR
First Name:JAROD
Middle Name:D
Last Name:ALLEN
Suffix:
Gender:M
Credentials:
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Other - Credentials:
Mailing Address - Street 1:210 E. MAIN
Mailing Address - Street 2:RESOURCES MANAGEMENT
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820
Mailing Address - Country:US
Mailing Address - Phone:580-436-7211
Mailing Address - Fax:580-272-5757
Practice Address - Street 1:OUTPATIENT SERVICES-PURCELL-1726 N GREEN AVE
Practice Address - Street 2:STRONG FAMILY DEVELOPMENT
Practice Address - City:PURCELL
Practice Address - State:OK
Practice Address - Zip Code:73080
Practice Address - Country:US
Practice Address - Phone:405-767-8940
Practice Address - Fax:405-767-8949
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2016-11-17
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst