Individual provider · Type 1 NPI

Jessica Lee Head

Mental Health Counselor · Tulsa, OK

NPI number 1104190800 Active

Practice location

3105 E Skelly Dr, Suite 102
Tulsa, OK 74105-6358

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104190800

Jessica Lee Head's National Provider Identifier is 1104190800, issued on Feb 28, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tulsa, OK. The record was last updated on Feb 28, 2012.