Individual
JENNIFER LYNN REICOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4202 SW LEE BLVD BLDG B, LAWTON, OK 73505-8300
(580) 771-2662
Mailing address
4202 SW LEE BLVD BLDG B, LAWTON, OK 73505-8300
(580) 771-2662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
09/27/2021
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