Individual
JESSICA ANN COLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1500 S MIDWEST BLVD, SUITE 102, MIDWEST CITY, OK 73110-4946
(501) 499-1875
Mailing address
1500 S MIDWEST BLVD, SUITE 102, MIDWEST CITY, OK 73110-4946
(501) 499-1875
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/22/2012
Last updated
07/06/2015
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