Individual
JACKIE DAWN GUILBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1857 SAWMILL RD, DURANT, OK 74701-7502
(580) 380-1509
Mailing address
1857 SAWMILL RD, DURANT, OK 74701-7502
(580) 380-1509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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