Individual
JESSICA LEIGH HELMKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC CANDIDATE
Contact information
Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 589-8553
(405) 858-1770
Mailing address
PO BOX 12978, OKLAHOMA CITY, OK 73157-2978
(405) 589-8553
(405) 858-1770
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200379200
—
OK
Enumeration date
05/10/2017
Last updated
10/12/2017
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