Individual provider · Type 1 NPI
Jaclyn Johndrow, LPC S
Mental Health Counselor · Broken Arrow, OK
NPI number
1154767812
Active
Practice location
1608 E Granger St
Broken Arrow, OK 74012-8311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 5937 (OK) |
Mental Health Counselor: Definition to come...
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About NPI 1154767812
Jaclyn Johndrow, LPC S's National Provider Identifier is 1154767812, issued on May 21, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Broken Arrow, OK. The record was last updated on Mar 11, 2022.