Individual
MS. BERNICE JARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 W GORE BLVD, SUITE B8, LAWTON, OK 73505-5977
(580) 695-5596
Mailing address
1321 SW 27TH ST, APARTMENT 3, LAWTON, OK 73505-7951
(561) 594-8391
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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