Individual provider · Type 1 NPI

Leslie Beaverson Jacox, LPC

Mental Health Counselor · Durant, OK

NPI number 1134491475 Active

Practice location

1600 W. University Blvd
Durant, OK 74701

Call (580) 740-0205 Map

Fax (580) 634-2848

Mailing address

1702 N. Commerce
Ardmore, OK 73401

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2816 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1134491475

Leslie Beaverson Jacox, LPC's National Provider Identifier is 1134491475, issued on Feb 2, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Durant, OK. The record was last updated on Sep 17, 2025.