person
Jill Maree Bashorun, LPC
Mental Health Counselor in Wellston, Oklahoma
NPI 1023262771

Jill Maree Bashorun is a Mental Health Counselor based in Wellston, OK and is specialized in Mental Health. Jill Maree Bashorun practices in Wellston, OK and has the professional credentials of LPC. The NPI Number for Jill Maree Bashorun is 1023262771 and holds a License No. 2206 (Oklahoma).

The current practice location address for Jill Maree Bashorun is 800 Birch Street, Wellston, OK and can be reached out via phone at 405-356-2533 and via fax at 405-356-2838.

Location: 800 Birch Street, Wellston, OK, 74881-0492
person
Provider Profile Details
NPI Number
1023262771
Provider Name
Jill Maree Bashorun
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
800 Birch Street, Wellston, OK, 74881-0492
Phone Number
405-356-2533
Fax Number
405-356-2838
Provider Enumeration Date
11/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
736081919 05 OK
institution
Provider Business Practice Location Address Details
Address
800 Birch Street
City
State
Zip
74881
Phone Number
405-356-2533
Fax Number
405-356-2838
person
Provider Business Mailing Address Details
Address
800 Birch Street
City
State
Zip
74881
Phone Number
405-356-2533
Fax Number
405-356-2838
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2206 (Oklahoma)
Definition
Definition to come...
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