Individual
JESSICA ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 W BROADWAY, THOMAS, OK 73669
(580) 661-3488
Mailing address
1634 DEPUTY DR, CLINTON, OK 73601-5606
(580) 744-9222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OK
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
06/24/2024
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