Individual
JADAN ENOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900761 S 3550 RD, STROUD, OK 74079-3935
(918) 968-5656
Mailing address
900761 S 3550 RD, STROUD, OK 74079-3935
(918) 968-5656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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