Individual
JESSICA MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
212 E DUKE, HUGO, OK 74743
(580) 326-2200
(580) 326-2201
Mailing address
212 E DUKE, HUGO, OK 74743
(580) 326-2200
(580) 326-2201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200356230A
—
OK
Enumeration date
06/18/2007
Last updated
08/08/2019
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