Individual
JESSICA YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7239 E 129 RD, HOLDENVILLE, OK 74848-1682
(405) 221-7179
Mailing address
7239 E 129 RD, HOLDENVILLE, OK 74848-1682
(405) 221-7179
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
03/09/2026
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