person
Mrs. Jackie L. Shaw, MED,,LPC,LMFT
Professional Counselor in Edmond, Oklahoma
NPI 1023212891

Jackie L. Shaw is a Professional Counselor based in Crescent, OK and is specialized in Professional. Jackie L. Shaw practices in Edmond, OK and has the professional credentials of MED,,LPC,LMFT. The NPI Number for Jackie L. Shaw is 1023212891 and holds a License No. LPC #1123, LMFT#655 (Oklahoma).

The current practice location address for Jackie L. Shaw is 307 E Danforth Rd, Edmond, OK and can be reached out via phone at 405-285-4700 and via fax at 405-285-4767.

Location: 307 E Danforth Rd, Edmond, OK, 73028-0755
person
Provider Profile Details
NPI Number
1023212891
Provider Name
Jackie L. Shaw
Credential
MED,,LPC,LMFT
Provider Entity Type
Individual
Gender
Female
Address
307 E Danforth Rd, Edmond, OK, 73028-0755
Phone Number
405-285-4700
Fax Number
405-285-4767
Provider Enumeration Date
06/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
307 E Danforth Rd
City
State
Zip
73034-4483
Phone Number
405-285-4700
Fax Number
405-285-4767
person
Provider Business Mailing Address Details
Address
307 E Danforth Rd
City
State
Zip
73034-4483
Phone Number
405-285-4700
Fax Number
405-285-4767
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC #1123, LMFT#655 (Oklahoma)
Definition
Definition to come...
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