Individual provider · Type 1 NPI

Jackie Leann Horton

Mental Health Counselor · Coalgate, OK

NPI number 1407175185 Active

Practice location

RR 4 Box 854
Coalgate, OK 74538-9624

Fax (580) 927-2346

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407175185

Jackie Leann Horton's National Provider Identifier is 1407175185, issued on May 20, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coalgate, OK. The record was last updated on Aug 10, 2012.