person
Mr. Mickey Dewayne Jack, BHRS
Mental Health Counselor in Atoka, Oklahoma
NPI 1861768715

Mickey Dewayne Jack is a Mental Health Counselor based in Atoka, OK and is specialized in Mental Health. Mickey Dewayne Jack practices in Atoka, OK and has the professional credentials of BHRS. The NPI Number for Mickey Dewayne Jack is 1861768715 and holds a License No. (Oklahoma).

The current practice location address for Mickey Dewayne Jack is 303 E Court St, Atoka, OK and can be reached out via phone at 580-889-3399.

Location: 303 E Court St, Atoka, OK, 74525-2501
person
Provider Profile Details
NPI Number
1861768715
Provider Name
Mickey Dewayne Jack
Credential
BHRS
Provider Entity Type
Individual
Gender
Male
Address
303 E Court St, Atoka, OK, 74525-2501
Phone Number
580-889-3399
Fax Number
Provider Enumeration Date
03/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
303 E Court St
City
State
Zip
74525-2047
Phone Number
580-889-3399
Fax Number
person
Provider Business Mailing Address Details
Address
303 E Court St
City
State
Zip
74525-2047
Phone Number
580-889-3399
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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