Individual provider · Type 1 NPI

Jessica Stafford

Mental Health Counselor · Muskogee, OK

NPI number 1083058697 Active

Practice location

1805 N York St, Suite G
Muskogee, OK 74403-1404

Fax (918) 682-0054

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1083058697

Jessica Stafford's National Provider Identifier is 1083058697, issued on Apr 25, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Muskogee, OK. The record was last updated on Apr 25, 2013.