Individual
JESSICA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2100 N BROADWAY AVE, ADA, OK 74820-1048
(580) 436-7120
Mailing address
2102 N BROADWAY AVE, ADA, OK 74820-1048
(580) 453-1835
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6701
OK
Other
Enumeration date
09/02/2015
Last updated
05/16/2019
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