Individual
JILLIAN MIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DBH, LPC
Contact information
Practice address
1312 N 1ST AVE, DURANT, OK 74701-2810
(580) 920-2069
(580) 920-1010
Mailing address
1312 N 1ST AVE, DURANT, OK 74701-2810
(580) 920-2069
(580) 920-1010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/15/2009
Last updated
10/30/2023
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