Individual
JACLYN RACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 N 4TH ST, STILWELL, OK 74960-2417
(918) 696-6212
Mailing address
611 N 4TH ST, STILWELL, OK 74960-2417
(918) 696-6212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/15/2010
Last updated
09/03/2025
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