Individual
JESSICA STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 N YORK ST, SUITE G, MUSKOGEE, OK 74403-1404
(918) 682-9292
(918) 682-0054
Mailing address
1805 N YORK ST, SUITE G, MUSKOGEE, OK 74403-1404
(918) 682-9292
(918) 682-0054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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