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Jessica Lea Shores, MSW
Counselor in Ada, Oklahoma
NPI 1023215563

Jessica Lea Shores is a Counselor based in Ada, OK. Jessica Lea Shores practices in Ada, OK and has the professional credentials of MSW. The NPI Number for Jessica Lea Shores is 1023215563 and holds a License No. (Oklahoma).

The current practice location address for Jessica Lea Shores is 111 E 12Th St, Ada, OK and can be reached out via phone at 580-436-2690. You can also correspond with Jessica Lea Shores through the mailing address at 111 E 12TH ST, ADA, OK - 74820-6501 (mailing address contact number: 580-436-2690).

Location: 111 E 12Th St, Ada, OK, 74820-6501
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Provider Profile Details
NPI Number
1023215563
Provider Name
Jessica Lea Shores
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
111 E 12Th St, Ada, OK, 74820-6501
Phone Number
580-436-2690
Fax Number
Provider Enumeration Date
06/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10 01 OK MENTAL HEALTH
institution
Provider Business Practice Location Address Details
Address
111 E 12Th St
City
Ada
State
Zip
74820-6501
Phone Number
580-436-2690
Fax Number
person
Provider Business Mailing Address Details
Address
111 E 12Th St
City
Ada
State
Zip
74820-6501
Phone Number
580-436-2690
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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