Individual provider · Type 1 NPI

Mary Jacque Ishcomer

Mental Health Counselor · Idabel, OK

NPI number 1225152259 Active

Practice location

2000 E Lincoln Rd
Idabel, OK 74745-7353

Fax (580) 286-5206

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

23 other providers at this address

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About NPI 1225152259

Mary Jacque Ishcomer's National Provider Identifier is 1225152259, issued on Mar 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idabel, OK. The record was last updated on Jul 8, 2007.