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Miss Jessicca Diane St. Clair, BA
Student in an Organized Health Care Education/Training Program in Durant, Oklahoma
NPI 1689967556

Jessicca Diane St. Clair is a Student in an Organized Health Care Education/Training Program based in Durant, OK. Jessicca Diane St. Clair practices in Durant, OK and has the professional credentials of BA. The NPI Number for Jessicca Diane St. Clair is 1689967556 and holds a License No. (Oklahoma).

The current practice location address for Jessicca Diane St. Clair is 1424 W Texas St, Durant, OK and can be reached out via phone at 580-380-5220.

Location: 1424 W Texas St, Durant, OK, 74702-5253
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689967556
Provider Name
Jessicca Diane St. Clair
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
1424 W Texas St, Durant, OK, 74702-5253
Phone Number
580-380-5220
Fax Number
Provider Enumeration Date
05/25/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1424 W Texas St
City
Durant
State
Oklahoma
Zip
74701-5752
Phone Number
580-380-5220
Fax Number
person
Provider Business Mailing Address Details
Address
1424 W Texas St
City
Durant
State
Oklahoma
Zip
74701-5752
Phone Number
580-380-5220
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
L999552021 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Oklahoma)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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