Individual provider · Type 1 NPI

Jessica Lea Shores, M.S.W

Counselor · Ada, OK

NPI number 1023215563 Active

Practice location

111 E 12th St
Ada, OK 74820-6501

Call (580) 436-2690 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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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About NPI 1023215563

Jessica Lea Shores, M.S.W's National Provider Identifier is 1023215563, issued on Jun 28, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Ada, OK. The record was last updated on Aug 28, 2008.