Organization
JACKIE HORTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE HORTON LPC (OWNER)
(580) 399-5398
Entity
Organization
Contact information
Practice address
RR 4 BOX 854, COALGATE, OK 74538-9624
(580) 399-5398
(580) 927-2346
Mailing address
RR 4 BOX 854, COALGATE, OK 74538-9624
(580) 399-5398
(580) 927-2346
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5730
OK
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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