Individual
JACKIE LEANN HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 4 BOX 854, COALGATE, OK 74538-9624
(580) 399-5398
(580) 927-2346
Mailing address
RR 4 BOX 854, COALGATE, OK 74538-9624
(580) 399-5398
(580) 927-2346
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/20/2010
Last updated
08/10/2012
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