Individual
MRS. JESSICA L LAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
610 E 24TH ST, TISHOMINGO, OK 73460-3245
(580) 371-2343
(580) 371-2451
Mailing address
610 E 24TH ST, TISHOMINGO, OK 73460-3245
(580) 371-2343
(580) 371-2451
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5788
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200435710 B
—
OK
Enumeration date
05/16/2012
Last updated
09/01/2015
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