Individual
JESSE LOREN GALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-C
Contact information
Practice address
1613 SE 66TH ST, OKLAHOMA CITY, OK 73149-5203
(918) 619-9094
Mailing address
5506 GRAYS PEAK, ENID, OK 73701-9682
(918) 402-9787
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PENDING
OK
Other
Enumeration date
07/26/2025
Last updated
07/26/2025
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