person
Jaclyn L Lee, MSW
Substance Abuse Rehabilitation Facility in Muskogee, Oklahoma
NPI 1205186293

Jaclyn L Lee is a Substance Abuse Rehabilitation Facility based in Muskogee, OK. Jaclyn L Lee practices in Muskogee, OK and has the professional credentials of MSW. The NPI Number for Jaclyn L Lee is 1205186293 and holds a License No. (Oklahoma).

The current practice location address for Jaclyn L Lee is 501 Fredonia St, Muskogee, OK and can be reached out via phone at 918-683-0124 and via fax at 918-683-1928. You can also correspond with Jaclyn L Lee through the mailing address at PO BOX 1267, MUSKOGEE, OK - 74402-1267 (mailing address contact number: 918-683-0124).

Location: 501 Fredonia St, Muskogee, OK, 74402-1267
person
Provider Profile Details
NPI Number
1205186293
Provider Name
Jaclyn L Lee
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
501 Fredonia St, Muskogee, OK, 74402-1267
Phone Number
918-683-0124
Fax Number
918-683-1928
Provider Enumeration Date
09/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
501 Fredonia St
City
State
Zip
74403-3330
Phone Number
918-683-0124
Fax Number
918-683-1928
person
Provider Business Mailing Address Details
Address
501 Fredonia St
City
State
Zip
74403-3330
Phone Number
918-683-0124
Fax Number
918-683-1928
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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