Individual
JACOB J OGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 S 5TH ST, SUITE120, YUKON, OK 73099
(405) 570-5088
Mailing address
110 S 5TH ST, SUITE120, YUKON, OK 73099
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC5592
OK
Other
Enumeration date
05/03/2012
Last updated
09/01/2016
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