Individual
MR. JACK FRANK TRACY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1006 24TH AVE NW STE 100, NORMAN, OK 73069-6344
(405) 801-2836
(405) 801-2846
Mailing address
1006 24TH AVE NW STE 100, NORMAN, OK 73069-6344
(405) 801-2836
(405) 801-2846
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3829
OK
103T00000X
Psychologist
1120
OK
Other
Enumeration date
05/07/2007
Last updated
02/09/2012
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