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Individual

MS. JAYNEE MARIE NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LADC/MH

Contact information

Practice address
2305 SW H AVE, 1, LAWTON, OK 73505-8103
(580) 678-6660
(405) 735-6116
Mailing address
1311 SW WASHINGTON AVE, LAWTON, OK 73501-7231
(580) 678-6660
(405) 735-6116

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1249
OK
101YP2500X
Professional Counselor
Primary
7051
OK

Other

Enumeration date
12/05/2011
Last updated
03/13/2019
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