Individual provider · Type 1 NPI

Jordan Marquett Presley I

Counselor · Wagoner, OK

NPI number 1396360640 Active

Practice location

109 S Harrill Ave
Wagoner, OK 74467-5317

Mailing address

3036 S 214th St W
Boynton, OK 74422-5103

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1396360640

Jordan Marquett Presley I's National Provider Identifier is 1396360640, issued on Jun 12, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Wagoner, OK. The record was last updated on Jun 12, 2020.