Individual
MRS. JACQULYN BROOKE BYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPC
Contact information
Practice address
333 W MAIN ST, SUITE 290, ARDMORE, OK 73401-6326
(580) 220-1052
(580) 226-9395
Mailing address
PO BOX 2532, ARDMORE, OK 73402-2532
(580) 220-1052
(580) 226-9395
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2894
OK
Other
Enumeration date
08/05/2006
Last updated
04/21/2010
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