Individual
MRS. BRENDA G. JAGGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
220 1/2 W MAIN ST STE D, ARDMORE, OK 73401-6316
(580) 220-7245
Mailing address
220 1/2 W MAIN ST STE D, ARDMORE, OK 73401-6316
(580) 220-7245
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4352
OK
Other
Enumeration date
12/09/2009
Last updated
10/17/2012
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