Individual provider · Type 1 NPI
Shelly Denise Jack, BHRS CM II
Mental Health Clinic/Center (Including Community Mental Health Center) · Atoka, OK
NPI number
1447520135
Active
Practice location
1088 S Gin Rd
Atoka, OK 74525-7378
Fax (580) 509-5041
Mailing address
1185 S Oregon Ave
Atoka, OK 74525-2879
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
5 other providers at this address
- Ann Faudree, MACase Manager/Care Coordinator Atoka, OK NPI 1043957814
- Cher Luv NanneyCase Manager/Care Coordinator Atoka, OK NPI 1730826587
- Eddie Todd NanneyCase Manager/Care Coordinator Atoka, OK NPI 1154068906
- Kelli J. Nowlin, LPCProfessional Counselor Atoka, OK NPI 1588990022
- Reta WatsonCase Manager/Care Coordinator Atoka, OK NPI 1063065480
Other mental health clinic/center (including community mental health center) providers in Atoka
- Amanda K. FireshakerMental Health Clinic/Center (Including Community Mental Health Center) Atoka, OK NPI 1033809124
- Kassandra GoodaleMental Health Clinic/Center (Including Community Mental Health Center) Atoka, OK NPI 1457032088
- Valerie Jo Rena DodsonMental Health Clinic/Center (Including Community Mental Health Center) Atoka, OK NPI 1972841831
About NPI 1447520135
Shelly Denise Jack, BHRS CM II's National Provider Identifier is 1447520135, issued on Jan 11, 2012. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Atoka, OK. The record was last updated on Oct 30, 2018.