Individual
MR. JESSE LEE PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
107 W 2ND ST, TAHLEQUAH, OK 74464, UNITED STATES, 107, TAHLEQUAH, OK 74464-7446
(918) 708-1755
Mailing address
107 W 2ND ST, TAHLEQUAH, OK 74464, UNITED STATES, 107, TAHLEQUAH, OK 74464-6002
(918) 708-1755
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
08021990
OK
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
10/27/2025
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