Individual provider · Type 1 NPI
Jessica Tara Dixon-Neal, LPC
Professional Counselor · Porter, OK
NPI number
1124697511
Active
Practice location
505 S Main St
Porter, OK 74454-1015
Mailing address
1450 Stone Crest Dr
Edmond, OK 73034-6605
Other practice locations
- 607 S Broadway, Coweta, OK 74429-5000 · (918) 486-5564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 10393 (OK) |
Professional Counselor: Definition to come...
4 other providers at this address
About NPI 1124697511
Jessica Tara Dixon-Neal, LPC's National Provider Identifier is 1124697511, issued on Jun 21, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Porter, OK. The record was last updated on Jun 19, 2023.