Individual
JADE J GERAGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, CMII
Contact information
Practice address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 470-6391
Mailing address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 470-6391
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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