Individual
JOWANNA S TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA,BHRS,CBHCM-D
Contact information
Practice address
100 N 5TH ST, HUGO, OK 74743-4005
(580) 326-9475
(580) 326-9028
Mailing address
HC 79 BOX 142, HUGO, OK 74743-9323
(580) 326-7845
(580) 298-6699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC07098
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
04/11/2007
Last updated
02/13/2024
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